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General NPI Number Information
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NPI Number | 1740006527
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Entity Type | Organization
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Legal Business Name | COLORADO FOOD CLUSTER INC.
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Dates
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Enumeration Date | 11/26/2024
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Last Update Date | 11/26/2024
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Provider Practice Location Address
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Address Line | 4242 E AMHERST AVE
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City | DENVER
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State | CO
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Zip | 80222-6702
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Country | US
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Telephone | 661-433-8773
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Fax |
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Provider Business Mailing Address
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Address Line | 4242 E AMHERST AVE
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City | DENVER
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State | CO
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Zip | 80222-6702
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CHIEF EXECUTIVE DIRECTOR
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Name | KRISTEN COLLINS
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Credential |
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Telephone | 661-433-8773
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332U00000X
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Taxonomy Name | Home Delivered Meals
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License Number |
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License Number State |
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