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General NPI Number Information
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NPI Number | 1437574514
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Entity Type | Organization
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Legal Business Name | GREEN MEADOWS ASSISTED LIVING
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Dates
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Enumeration Date | 02/25/2014
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Last Update Date | 02/25/2014
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Provider Practice Location Address
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Address Line | 2177 S GOLDEN CT
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City | DENVER
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State | CO
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Zip | 80227-3606
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Country | US
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Telephone | 303-955-0026
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Fax | 303-955-0026
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Provider Business Mailing Address
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Address Line | 2177 S GOLDEN CT
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City | DENVER
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State | CO
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Zip | 80227-3606
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Country | US
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Telephone | 303-955-0026
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Fax | 303-955-0026
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | ANGELICA GALLEGOS
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Credential |
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Telephone | 720-585-8143
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 310400000X
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Taxonomy Name | Assisted Living Facility
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License Number | 23Q902
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License Number State | CO
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