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General NPI Number Information
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NPI Number | 1538833447
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Entity Type | Organization
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Legal Business Name | 579 CONSTRUCTION LLC
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Dates
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Enumeration Date | 08/04/2021
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Last Update Date | 08/04/2021
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Provider Practice Location Address
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Address Line | 2695 PATTERSON RD. STE 2-267
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City | GRAND JUNCTION
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State | CO
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Zip | 81506-1400
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Country | US
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Telephone | 970-208-9009
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Fax |
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Provider Business Mailing Address
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Address Line | 2695 PATTERSON RD. STE 2-267
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City | GRAND JUNCTION
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State | CO
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Zip | 81506-1400
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Country | US
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Telephone | 970-208-9009
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Fax |
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Authorized Official
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Title or Position | PROJECT MANAGER
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Name | MARTIN DUARTE
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Credential |
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Telephone | 970-208-9009
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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 |
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License Number State |
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