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General NPI Number Information
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NPI Number | 1730775818
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Entity Type | Organization
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Legal Business Name | MEDPROS HOMECARE SERVICES
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Dates
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Enumeration Date | 12/14/2020
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Last Update Date | 12/14/2020
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Provider Practice Location Address
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Address Line | 10180 E COLFAX AVE # 297
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City | AURORA
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State | CO
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Zip | 80010-5038
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Country | US
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Telephone | 303-598-6737
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Fax | 303-598-6738
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Provider Business Mailing Address
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Address Line | 6531 S KELLERMAN WAY
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City | AURORA
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State | CO
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Zip | 80016-6199
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Country | US
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Telephone | 307-220-3423
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Fax |
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Authorized Official
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Title or Position | EXECUTIVE MANAGER/OWNER
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Name | JAMAL ALI
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Credential |
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Telephone | 303-598-6737
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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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