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General NPI Number Information
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NPI Number | 1477003309
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Entity Type | Organization
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Legal Business Name | COTTONWOOD COMMUNITY ALTERNATIVES, INC.
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Dates
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Enumeration Date | 10/04/2016
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Last Update Date | 10/04/2016
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Provider Practice Location Address
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Address Line | 3294 S ACOMA ST
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City | ENGLEWOOD
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State | CO
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Zip | 80110-2414
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Country | US
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Telephone | 303-761-6487
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Fax | 303-761-5986
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Provider Business Mailing Address
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Address Line | PO BOX 946
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City | ENGLEWOOD
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State | CO
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Zip | 80151-0946
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Country | US
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Telephone | 303-761-6487
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Fax | 303-761-5986
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Authorized Official
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Title or Position | CFO
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Name | SEANNA HORTON
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Credential |
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Telephone | 303-761-6487
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251C00000X
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Taxonomy Name | Developmentally Disabled Services Day Training Agency
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License Number |
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License Number State |
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