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General NPI Number Information
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NPI Number | 1487152393
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Entity Type | Organization
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Legal Business Name | CENTER HOME HEALTH SERVICES INC
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Dates
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Enumeration Date | 01/25/2018
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Last Update Date | 03/17/2018
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Provider Practice Location Address
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Address Line | 721 4TH ST STE A
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City | FORT LUPTON
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State | CO
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Zip | 80621-1846
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Country | US
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Telephone | 303-990-9026
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Fax | 303-990-9026
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Provider Business Mailing Address
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Address Line | 721 4TH ST STE A
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City | FORT LUPTON
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State | CO
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Zip | 80621-1846
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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 | VP
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Name | CELENA KIM GARCIA
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Credential |
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Telephone | 303-990-9026
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number | 04O533
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License Number State | CO
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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 | 04D457
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License Number State | CO
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