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General NPI Number Information
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NPI Number | 1457710972
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Entity Type | Organization
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Legal Business Name | ROWAN COMMUNITY, INC
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Dates
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Enumeration Date | 02/11/2016
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Last Update Date | 02/11/2016
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Provider Practice Location Address
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Address Line | 4601 E ASBURY CIR
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City | DENVER
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State | CO
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Zip | 80222-4722
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Country | US
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Telephone | 303-757-1228
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Fax | 303-759-3390
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Provider Business Mailing Address
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Address Line | 4601 E ASBURY CIR
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City | DENVER
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State | CO
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Zip | 80222-4722
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Country | US
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Telephone | 303-757-1228
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Fax | 303-759-3390
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Authorized Official
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Title or Position | DIRECTOR OF REIMBURSEMENT
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Name | MARY KORETKE
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Credential |
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Telephone | 720-974-6278
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 314000000X
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Taxonomy Name | Skilled Nursing Facility
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License Number | 020459
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License Number State | CO
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