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General NPI Number Information
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NPI Number | 1326581463
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Entity Type | Organization
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Legal Business Name | RIGHT BY YOUR SIDE HOME CARE, LLC
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Dates
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Enumeration Date | 11/21/2016
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Last Update Date | 11/19/2021
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Provider Practice Location Address
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Address Line | 501 GREENBRIAR ST
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City | FRUITA
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State | CO
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Zip | 81521-2928
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Country | US
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Telephone | 970-773-3302
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Fax |
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Provider Business Mailing Address
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Address Line | 501 GREENBRIAR ST
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City | FRUITA
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State | CO
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Zip | 81521-2928
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Country | US
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Telephone | 970-773-3302
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | NICHOLAS DEVRIES
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Credential |
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Telephone | 970-773-4603
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171WH0202X
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Taxonomy Name | Home Modifications Contractor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 343900000X
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Taxonomy Name | Non-emergency Medical Transport (VAN)
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License Number | 04O155
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License Number State | CO
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Taxonomy #3
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 04O155
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License Number State | CO
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