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General NPI Number Information
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NPI Number | 1679272736
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Entity Type | Organization
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Legal Business Name | 1ST SUPPORT IN-HOME CARE
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Dates
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Enumeration Date | 02/27/2023
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Last Update Date | 02/27/2023
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Provider Practice Location Address
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Address Line | 8753 YATES DR STE 220I
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City | WESTMINSTER
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State | CO
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Zip | 80031-6946
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Country | US
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Telephone | 720-771-3852
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Fax | 303-749-1126
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Provider Business Mailing Address
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Address Line | 8753 YATES DR STE 220I
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City | WESTMINSTER
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State | CO
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Zip | 80031-6946
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Country | US
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Telephone | 720-771-3852
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Fax | 303-749-1126
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Authorized Official
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Title or Position | OWNER OPERATOR
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Name | VIET TRAM TONG
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Credential |
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Telephone | 720-771-3852
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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 |
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License Number State |
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