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General NPI Number Information
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NPI Number | 1699398230
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Entity Type | Organization
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Legal Business Name | COLORADO PALLIATIVE & HOSPICE CARE OF NORTHERN COLORADO LLC
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Dates
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Enumeration Date | 05/18/2020
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Last Update Date | 09/10/2020
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Provider Practice Location Address
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Address Line | 6551 S REVERE PKWY STE 125
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City | CENTENNIAL
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State | CO
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Zip | 80111-6468
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Country | US
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Telephone | 720-545-0800
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Fax | 720-545-0801
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Provider Business Mailing Address
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Address Line | 26207 HERRING RD
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City | GREENWOOD
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State | MO
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Zip | 64034-9355
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Country | US
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Telephone | 816-916-5553
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Fax | 888-667-1231
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Authorized Official
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Title or Position | MANAGING MEMBER
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Name | PHILLIP HILL
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Credential |
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Telephone | 720-545-0800
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251G00000X
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Taxonomy Name | Community Based Hospice Care Agency
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License Number |
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License Number State |
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