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General NPI Number Information
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NPI Number | 1346621208
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Entity Type | Organization
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Legal Business Name | COLORADO COALITION FOR THE HOMELESS
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Dates
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Enumeration Date | 06/16/2015
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Last Update Date | 01/02/2025
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Provider Practice Location Address
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Address Line | 2100 BROADWAY
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City | DENVER
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State | CO
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Zip | 80205-2827
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Country | US
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Telephone | 303-297-4091
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Fax | 303-293-2309
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Provider Business Mailing Address
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Address Line | 2130 STOUT STREET
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City | DENVER
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State | CO
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Zip | 80205-2526
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Country | US
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Telephone | 303-312-9983
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Fax | 303-293-2309
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Authorized Official
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Title or Position | CFO
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Name | PETE J STOLLER
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Credential |
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Telephone | 303-312-9606
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QF0400X
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Taxonomy Name | Federally Qualified Health Center (FQHC)
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License Number | CO DOES NOT REQUIRE
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License Number State | CO
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