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General NPI Number Information
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NPI Number | 1598300493
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Entity Type | Organization
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Legal Business Name | SHIELDS FOUNDATION LLC
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Dates
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Enumeration Date | 11/14/2019
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Last Update Date | 10/17/2022
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Provider Practice Location Address
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Address Line | 2253 S ONEIDA ST STE 201
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City | DENVER
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State | CO
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Zip | 80224-2562
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Country | US
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Telephone | 772-353-9132
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Fax |
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Provider Business Mailing Address
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Address Line | 7391 S OLD HAMMER WAY
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City | AURORA
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State | CO
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Zip | 80016-7358
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Country | US
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Telephone | 772-353-9132
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | ROBERT PLOWDEN
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Credential |
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Telephone | 772-353-9132
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251C00000X
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Taxonomy Name | Developmentally Disabled Services Day Training Agency
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 320600000X
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Taxonomy Name | Intellectual and/or Developmental Disabilities Residential Treatment Facility
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License Number |
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License Number State |
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