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General NPI Number Information
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NPI Number | 1740611763
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Entity Type | Organization
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Legal Business Name | ALTERNATIVE HEALTH STYLES
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Dates
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Enumeration Date | 12/01/2013
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Last Update Date | 12/01/2013
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Provider Practice Location Address
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Address Line | 12209 W 2ND PL 4301
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City | LAKEWOOD
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State | CO
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Zip | 80228-1562
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Country | US
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Telephone | 720-432-3060
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Fax |
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Provider Business Mailing Address
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Address Line | 12209 W 2ND PL 4301
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City | LAKEWOOD
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State | CO
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Zip | 80228-1562
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Country | US
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Telephone | 720-432-3060
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MISS CHRISTINE ANN CAVALEA
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Credential | R.N.
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Telephone | 720-432-3060
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing Care Agency
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License Number | 041-213455
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License Number State | IL
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