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General NPI Number Information
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NPI Number | 1427559798
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Entity Type | Organization
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Legal Business Name | AUTISM COMMUNITY SUPPORTS LLC
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Dates
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Enumeration Date | 02/22/2018
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Last Update Date | 01/06/2021
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Provider Practice Location Address
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Address Line | 10001 EAST EVANS AVE 90A
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City | DENVER
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State | CO
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Zip | 80247-3557
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Country | US
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Telephone | 719-217-1134
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Fax |
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Provider Business Mailing Address
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Address Line | 10001 EAST EVANS AVE 90A
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City | DENVER
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State | CO
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Zip | 80247-3557
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Country | US
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Telephone | 719-217-1134
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | TINA DOBSON
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Credential |
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Telephone | 719-217-1134
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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 #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 | 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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