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General NPI Number Information
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NPI Number | 1336973197
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Entity Type | Organization
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Legal Business Name | ENTRUST HEALTH LLC
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Dates
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Enumeration Date | 08/26/2024
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Last Update Date | 03/11/2025
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Provider Practice Location Address
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Address Line | 4465 NORTHPARK DRIVE SUITE 460
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City | COLORADO SPRINGS
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State | CO
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Zip | 80907-4225
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Country | US
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Telephone | 719-501-1286
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Fax |
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Provider Business Mailing Address
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Address Line | 4465 NORTHPARK DRIVE SUITE 460
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City | COLORADO SPRINGS
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State | CO
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Zip | 80907-4225
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Country | US
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Telephone | 719-501-1286
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Fax |
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Authorized Official
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Title or Position | AUTHORIZED OFFICIAL
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Name | MR. ARIEL OCHOA
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Credential |
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Telephone | 602-319-6779
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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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Taxonomy #2
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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