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General NPI Number Information
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NPI Number | 1326658311
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Entity Type | Organization
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Legal Business Name | 24 CARET HOME CARE AGENCY
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Dates
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Enumeration Date | 08/04/2020
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Last Update Date | 08/04/2020
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Provider Practice Location Address
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Address Line | 2323 S TROY ST STE 4-180
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City | AURORA
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State | CO
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Zip | 80014-1900
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Country | US
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Telephone | 303-601-7989
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Fax | 303-393-1291
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Provider Business Mailing Address
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Address Line | 3222 IVY ST
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City | DENVER
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State | CO
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Zip | 80207-2108
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Country | US
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Telephone | 303-377-0370
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MRS. ASHLIE AMBER ELLIS
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Credential |
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Telephone | 303-377-0370
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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