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General NPI Number Information
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NPI Number | 1659878023
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Entity Type | Organization
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Legal Business Name | GBX2 INC
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Dates
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Enumeration Date | 04/11/2018
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Last Update Date | 01/27/2020
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Provider Practice Location Address
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Address Line | 19039 PLAZA DR STE 230
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City | PARKER
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State | CO
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Zip | 80134-9028
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Country | US
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Telephone | 720-726-3799
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Fax |
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Provider Business Mailing Address
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Address Line | 11981 S ALLERTON CIR
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City | PARKER
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State | CO
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Zip | 80138-8828
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Country | US
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Telephone | 303-330-1026
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Fax |
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Authorized Official
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Title or Position | MANAGING PARTNER
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Name | MS. GRACE BRADLEY
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Credential |
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Telephone | 720-726-3799
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 04D455
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License Number State | CO
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