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General NPI Number Information
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NPI Number | 1629935341
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Entity Type | Organization
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Legal Business Name | TELEICARE, LLC
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Dates
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Enumeration Date | 01/06/2026
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Last Update Date | 01/08/2026
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Provider Practice Location Address
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Address Line | 585 PENN RD.
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City | ELIZABETH
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State | CO
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Zip | 80107
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Country | US
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Telephone | 720-435-7782
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Fax |
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Provider Business Mailing Address
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Address Line | 834 S PERRY ST STE F
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City | CASTLE ROCK
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State | CO
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Zip | 80104-1941
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Country | US
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Telephone | 720-435-7782
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | CAROLINE IVETTE PENA
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Credential | NURSE PRACTITIONER
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Telephone | 720-435-7782
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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