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General NPI Number Information
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NPI Number | 1609389766
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Entity Type | Organization
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Legal Business Name | VITALCARE CORPORATION
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Dates
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Enumeration Date | 11/13/2017
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Last Update Date | 10/16/2018
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Provider Practice Location Address
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Address Line | 1400 W 122ND AVE STE 140
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City | WESTMINSTER
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State | CO
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Zip | 80234-3440
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Country | US
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Telephone | 888-664-4222
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Fax |
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Provider Business Mailing Address
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Address Line | 1400 W 122ND AVE STE 140
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City | WESTMINSTER
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State | CO
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Zip | 80234-3440
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Country | US
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Telephone | 888-664-4222
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Fax |
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Authorized Official
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Title or Position | PRESIDENT / CEO
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Name | MATTHEW DOLPH
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Credential |
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Telephone | 888-664-4222
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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Taxonomy #2
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Taxonomy Code | 311Z00000X
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Taxonomy Name | Custodial Care Facility
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License Number |
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License Number State |
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