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General NPI Number Information
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NPI Number | 1669899464
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Entity Type | Organization
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Legal Business Name | INNOVAGE HOME CARE ASPEN LLC
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Dates
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Enumeration Date | 03/19/2014
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Last Update Date | 03/19/2014
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Provider Practice Location Address
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Address Line | 1158 HIGHWAY 133
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City | CARBONDALE
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State | CO
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Zip | 81623
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Country | US
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Telephone | 970-947-5201
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Fax |
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Provider Business Mailing Address
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Address Line | 8950 E LOWRY BLVD
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City | DENVER
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State | CO
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Zip | 80230-7030
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Country | US
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Telephone | 303-369-6900
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Fax |
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Authorized Official
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Title or Position | CHIEF FINANCIAL OFFICER
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Name | MS. ANGELA OAKLEY
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Credential | CPA
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Telephone | 720-974-2434
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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 |
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License Number State |
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