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General NPI Number Information
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NPI Number | 1548883291
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Entity Type | Organization
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Legal Business Name | BODY & SOUL HOME HEALTH CARE
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Dates
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Enumeration Date | 05/28/2020
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Last Update Date | 05/28/2020
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Provider Practice Location Address
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Address Line | 2009 9TH ST
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City | GREELEY
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State | CO
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Zip | 80631-3029
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Country | US
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Telephone | 970-451-5163
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Fax |
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Provider Business Mailing Address
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Address Line | 2009 9TH ST
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City | GREELEY
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State | CO
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Zip | 80631-3029
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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 | OWNER
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Name | JENNIFER NEELEY
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Credential |
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Telephone | 970-539-2881
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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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