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General NPI Number Information
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NPI Number | 1619282498
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Entity Type | Organization
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Legal Business Name | ATTENTIVE CARE MEDICAL SUPPLY, LLC
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Dates
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Enumeration Date | 08/17/2010
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Last Update Date | 08/17/2010
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Provider Practice Location Address
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Address Line | 1385 S COLORADO BLVD SUITE 209
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City | DENVER
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State | CO
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Zip | 80222-3304
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Country | US
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Telephone | 720-435-7326
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Fax | 720-946-1822
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Provider Business Mailing Address
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Address Line | 1385 S COLORADO BLVD SUITE 209
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City | DENVER
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State | CO
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Zip | 80222-3304
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Country | US
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Telephone | 720-435-7326
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Fax | 720-946-1822
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Authorized Official
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Title or Position | MANAGER
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Name | IGOR BALABAN
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Credential |
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Telephone | 303-668-5176
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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