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General NPI Number Information
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NPI Number | 1427667948
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Entity Type | Organization
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Legal Business Name | CS HOME CARE INCORPORATED
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Dates
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Enumeration Date | 07/30/2020
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Last Update Date | 07/30/2020
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Provider Practice Location Address
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Address Line | 2860 S CIRCLE DR STE 350R
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City | COLORADO SPRINGS
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State | CO
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Zip | 80906-4113
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Country | US
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Telephone | 719-419-7839
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Fax |
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Provider Business Mailing Address
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Address Line | 2860 S CIRCLE DR STE 350R
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City | COLORADO SPRINGS
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State | CO
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Zip | 80906-4113
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | AUTHORIZED OFFICIAL
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Name | TAN TRUONG
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Credential |
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Telephone | 719-460-3359
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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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 | 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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