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General NPI Number Information
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NPI Number | 1407393499
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Entity Type | Organization
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Legal Business Name | PEOPLECARE OF SOUTHERN COLORADO
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Dates
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Enumeration Date | 01/27/2017
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Last Update Date | 03/07/2022
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Provider Practice Location Address
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Address Line | 201 W 8TH ST STE 810
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City | PUEBLO
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State | CO
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Zip | 81003-3037
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Country | US
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Telephone | 719-275-2575
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Fax | 719-467-3119
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Provider Business Mailing Address
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Address Line | 12015 E 46TH AVE STE 650
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City | DENVER
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State | CO
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Zip | 80239-3158
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Country | US
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Telephone | 720-863-1477
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Fax | 720-780-1390
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Authorized Official
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Title or Position | CO-CEO
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Name | LORIN CHEVALIER
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Credential |
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Telephone | 720-863-1477
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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 | 04X759
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License Number State | CO
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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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