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General NPI Number Information
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NPI Number | 1487985362
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Entity Type | Organization
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Legal Business Name | VEGA INC
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Dates
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Enumeration Date | 01/17/2010
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Last Update Date | 01/17/2010
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Provider Practice Location Address
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Address Line | 4200 N GARFIELD AVE
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City | LOVELAND
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State | CO
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Zip | 80538-2220
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Country | US
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Telephone | 970-667-7778
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Fax | 970-577-0109
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Provider Business Mailing Address
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Address Line | 4200 N GARFIELD AVE
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City | LOVELAND
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State | CO
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Zip | 80538-2220
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Country | US
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Telephone | 970-667-7778
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Fax | 970-577-0109
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Authorized Official
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Title or Position | SECRETARY/TREASURER
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Name | MR. THOMAS MICHAEL BARRY
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Credential |
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Telephone | 970-667-7778
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 04M156
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License Number State | CO
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