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General NPI Number Information
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NPI Number | 1538934310
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Entity Type | Organization
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Legal Business Name | ALL BY GRACE HOMECARE AGENCY LLC
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Dates
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Enumeration Date | 11/21/2023
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Last Update Date | 04/15/2024
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Provider Practice Location Address
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Address Line | 2323 S TROY ST
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City | AURORA
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State | CO
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Zip | 80014-1946
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Country | US
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Telephone | 720-634-7142
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Fax |
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Provider Business Mailing Address
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Address Line | 2323 S TROY ST
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City | AURORA
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State | CO
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Zip | 80014-1946
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Country | US
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Telephone | 303-217-4739
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | MISS SARAH POTTER
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Credential |
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Telephone | 303-217-4739
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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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