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General NPI Number Information
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NPI Number | 1659367134
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Entity Type | Organization
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Legal Business Name | DENVER SUNSET HOME
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Dates
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Enumeration Date | 09/21/2005
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Last Update Date | 06/10/2011
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Provider Practice Location Address
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Address Line | 235 NORTH MILL ST
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City | DENVER
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State | IA
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Zip | 50622-7720
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Country | US
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Telephone | 319-984-5372
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Fax | 319-984-5197
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Provider Business Mailing Address
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Address Line | 235 N MILL ST
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City | DENVER
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State | IA
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Zip | 50622-7720
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Country | US
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Telephone | 319-984-5372
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Fax | 319-984-5197
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. LAWRENCE STUMME
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Credential |
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Telephone | 319-984-5372
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 313M00000X
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Taxonomy Name | Nursing Facility/Intermediate Care Facility
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License Number | 0910099
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License Number State | IA
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