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General NPI Number Information
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NPI Number | 1609734151
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Entity Type | Organization
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Legal Business Name | COLORADO HOSPICE OF THE WEST LLC
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Dates
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Enumeration Date | 01/13/2026
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Last Update Date | 01/13/2026
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Provider Practice Location Address
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Address Line | 5500 GREENWOOD PLAZA BLVD STE 100
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City | GREENWOOD VILLAGE
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State | CO
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Zip | 80111-2101
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Country | US
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Telephone | 303-219-4496
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Fax | 303-648-4520
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Provider Business Mailing Address
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Address Line | 500 FAULCONER DR STE 200
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City | CHARLOTTESVILLE
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State | VA
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Zip | 22903-5089
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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 | CHIEF ADMINISTRATIVE OFFICER
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Name | JESSE MOORE
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Credential |
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Telephone | 857-331-6271
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251G00000X
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Taxonomy Name | Community Based Hospice Care Agency
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License Number |
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License Number State |
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