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General NPI Number Information
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NPI Number | 1598415465
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Entity Type | Organization
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Legal Business Name | YETI HOME HEALTH CARE AGENCY
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Dates
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Enumeration Date | 03/24/2022
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Last Update Date | 03/24/2022
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Provider Practice Location Address
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Address Line | 2851 S PARKER RD STE 422
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City | AURORA
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State | CO
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Zip | 80014-2725
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Country | US
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Telephone | 720-240-7756
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Fax |
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Provider Business Mailing Address
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Address Line | 2851 S PARKER RD STE 422
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City | AURORA
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State | CO
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Zip | 80014-2725
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Country | US
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Telephone | 720-240-7756
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Fax | 720-745-6430
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Authorized Official
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Title or Position | CEO
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Name | SOLOMON NALYANYA
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Credential | CPA
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Telephone | 720-240-7756
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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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Taxonomy #2
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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