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General NPI Number Information
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NPI Number | 1659734465
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Entity Type | Organization
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Legal Business Name | CAREPROX LLC
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Dates
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Enumeration Date | 03/30/2016
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Last Update Date | 10/31/2016
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Provider Practice Location Address
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Address Line | 7000 N BROADWAY SUITE 2-204
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City | DENVER
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State | CO
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Zip | 80221-2914
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Country | US
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Telephone | 720-285-7033
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Fax | 303-284-4390
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Provider Business Mailing Address
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Address Line | 7000 N BROADWAY SUITE 2-204
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City | DENVER
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State | CO
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Zip | 80221-2914
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Country | US
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Telephone | 720-285-7033
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Fax | 303-284-4390
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Authorized Official
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Title or Position | CHIEF ADMINISTRATIVE OFFICER
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Name | VICTOR GABOJUKWU
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Credential | CAO
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Telephone | 720-285-7033
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number | 85621552
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License Number State | CO
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Taxonomy #2
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Taxonomy Code | 261QA0600X
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Taxonomy Name | Adult Day Care Clinic/Center
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License Number | 88981061
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License Number State | CO
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Taxonomy #3
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Taxonomy Code | 343900000X
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Taxonomy Name | Non-emergency Medical Transport (VAN)
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License Number | 65377869
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License Number State | CO
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Taxonomy #4
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Taxonomy Code | 385HR2065X
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Taxonomy Name | Child Physical Disabilities Respite Care
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License Number | 85621552
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License Number State | CO
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Taxonomy #5
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Taxonomy Code | 251C00000X
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Taxonomy Name | Developmentally Disabled Services Day Training Agency
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License Number | 85621552
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License Number State | CO
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