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General NPI Number Information
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NPI Number | 1659732055
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Entity Type | Organization
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Legal Business Name | COLORADO ASSISTED LIVING HOMES PANAMA
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Dates
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Enumeration Date | 03/11/2016
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Last Update Date | 03/11/2016
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Provider Practice Location Address
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Address Line | 1051 E PANAMA DR
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City | CENTENNIAL
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State | CO
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Zip | 80121-2506
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Country | US
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Telephone | 303-798-0746
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Fax | 720-981-0233
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Provider Business Mailing Address
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Address Line | 6638 W OTTAWA AVE
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City | LITTLETON
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State | CO
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Zip | 80128-4562
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Country | US
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Telephone | 303-948-0555
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Fax | 720-981-0233
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Authorized Official
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Title or Position | OWNER/ADMINISTRATOR
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Name | JAMES PAUL PALIN
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Credential |
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Telephone | 303-549-1615
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 310400000X
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Taxonomy Name | Assisted Living Facility
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License Number | 23M600
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License Number State | CO
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