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General NPI Number Information
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NPI Number | 1235336348
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Entity Type | Organization
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Legal Business Name | EBEN EZER IN-HOME SERVICES
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Dates
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Enumeration Date | 07/02/2007
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 122 HOSPITAL RD
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City | BRUSH
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State | CO
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Zip | 80723-1702
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Country | US
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Telephone | 970-842-6481
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Fax | 970-842-3148
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Provider Business Mailing Address
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Address Line | 122 HOSPITAL RD
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City | BRUSH
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State | CO
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Zip | 80723-1702
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Country | US
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Telephone | 970-842-6481
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Fax | 970-842-3148
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MS. RENEE LOWE
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Credential |
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Telephone | 970-842-6481
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3747P1801X
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Taxonomy Name | Personal Care Attendant
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License Number | 04138475
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License Number State | CO
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Taxonomy #2
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Taxonomy Code | 376J00000X
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Taxonomy Name | Homemaker
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License Number | 04138475
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License Number State | CO
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Taxonomy #3
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Taxonomy Code | 146D00000X
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Taxonomy Name | Personal Emergency Response Attendant
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License Number | 04138475
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License Number State | CO
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