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General NPI Number Information
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NPI Number | 1548227556
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Entity Type | Organization
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Legal Business Name | HILDEBRAND HOMECARE, INC.
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Dates
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Enumeration Date | 04/26/2006
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Last Update Date | 10/23/2008
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Provider Practice Location Address
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Address Line | 1350 BAUER LN
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City | CANON CITY
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State | CO
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Zip | 81212-4686
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Country | US
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Telephone | 719-276-3010
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Fax | 719-204-0011
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Provider Business Mailing Address
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Address Line | 1350 BAUER LN
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City | CANON CITY
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State | CO
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Zip | 81212-4686
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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 | DIRECTOR
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Name | THECLA YEOMAN
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Credential |
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Telephone | 719-276-3010
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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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