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General NPI Number Information
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NPI Number | 1710795190
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Entity Type | Organization
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Legal Business Name | MISSION FIRST CARE SOLUTIONS LLC
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Dates
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Enumeration Date | 12/18/2024
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Last Update Date | 12/18/2024
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Provider Practice Location Address
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Address Line | 5751 S TRUCKEE ST
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City | CENTENNIAL
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State | CO
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Zip | 80015-3095
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Country | US
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Telephone | 352-256-4671
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Fax |
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Provider Business Mailing Address
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Address Line | 5751 S TRUCKEE ST
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City | CENTENNIAL
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State | CO
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Zip | 80015-3095
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Country | US
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Telephone | 352-256-4671
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Fax |
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | HONORE WARE SR.
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Credential |
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Telephone | 352-256-4671
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 374U00000X
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Taxonomy Name | Home Health Aide
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License Number |
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License Number State |
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