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General NPI Number Information
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NPI Number | 1386624005
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Entity Type | Organization
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Legal Business Name | CENTER FOR PEOPLE WITH DISABILITIES
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Dates
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Enumeration Date | 01/19/2006
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Last Update Date | 06/15/2016
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Provider Practice Location Address
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Address Line | 1675 RANGE STREET
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City | BOULDER
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State | CO
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Zip | 80301-2722
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Country | US
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Telephone | 303-442-8662
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Fax | 303-442-0502
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Provider Business Mailing Address
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Address Line | 1675 RANGE STREET
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City | BOULDER
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State | CO
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Zip | 80301-2722
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Country | US
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Telephone | 303-442-8662
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Fax | 303-442-0502
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | DAVID C ROBINSON
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Credential |
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Telephone | 303-442-8662
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 175T00000X
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Taxonomy Name | Peer Specialist
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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 | 376J00000X
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Taxonomy Name | Homemaker
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 373H00000X
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Taxonomy Name | Day Training/Habilitation Specialist
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 261QA0600X
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Taxonomy Name | Adult Day Care Clinic/Center
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License Number |
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License Number State |
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Taxonomy #6
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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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Taxonomy #7
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 040306
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License Number State | CO
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