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General NPI Number Information
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NPI Number | 1548715014
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Entity Type | Organization
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Legal Business Name | SOLACE HEALTHCARE
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Dates
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Enumeration Date | 08/24/2016
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Last Update Date | 06/01/2021
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Provider Practice Location Address
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Address Line | 495 UINTA WAY 140
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City | DENVER
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State | CO
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Zip | 80230-7110
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Country | US
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Telephone | 303-432-8487
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Fax |
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Provider Business Mailing Address
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Address Line | 495 UINTA WAY 140
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City | DENVER
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State | CO
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Zip | 80230-7110
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Country | US
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Telephone | 303-432-8487
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MR. MICHAEL BILLINGHURST
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Credential | OT, MBS
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Telephone | 303-432-8487
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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 | PSLP.0000123
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License Number State | CO
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