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General NPI Number Information
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NPI Number | 1386134377
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Entity Type | Organization
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Legal Business Name | AB ADVANCED SERVICES
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Dates
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Enumeration Date | 05/15/2018
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Last Update Date | 05/15/2018
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Provider Practice Location Address
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Address Line | 4312 CEYLON ST
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City | DENVER
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State | CO
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Zip | 80249-6502
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Country | US
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Telephone | 303-246-8657
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Fax | 303-373-0990
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Provider Business Mailing Address
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Address Line | 4312 CEYLON ST
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City | DENVER
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State | CO
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Zip | 80249-6502
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Country | US
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Telephone | 303-246-8657
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Fax | 303-373-0990
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Authorized Official
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Title or Position | OWNER/CEO
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Name | AIDA BADIANE
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Credential |
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Telephone | 303-246-8657
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 385H00000X
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Taxonomy Name | Respite Care
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License Number |
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License Number State |
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