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General NPI Number Information
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NPI Number | 1720257025
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Entity Type | Organization
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Legal Business Name | BENT COUNTY PUBLIC HEALTH
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Dates
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Enumeration Date | 02/21/2008
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Last Update Date | 10/02/2025
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Provider Practice Location Address
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Address Line | 701 S PARK AVE
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City | LAS ANIMAS
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State | CO
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Zip | 81054-1575
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Country | US
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Telephone | 719-456-0517
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Fax | 719-456-0518
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Provider Business Mailing Address
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Address Line | 701 S PARK AVE
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City | LAS ANIMAS
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State | CO
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Zip | 81054-1575
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Country | US
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Telephone | 719-456-0517
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Fax | 719-456-0518
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Authorized Official
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Title or Position | HOME CARE AGENCY ADMINISTRATOR
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Name | AMANDA LEIGH CASHWELL
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Credential |
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Telephone | 719-456-0517
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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 | 067015
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License Number State | CO
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