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General NPI Number Information
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NPI Number | 1750177341
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Entity Type | Organization
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Legal Business Name | TEAMSELECT HOME CARE OF COLORADO, LLC
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Dates
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Enumeration Date | 04/18/2025
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Last Update Date | 04/18/2025
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Provider Practice Location Address
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Address Line | 1407 FORTINO BLVD
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City | PUEBLO
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State | CO
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Zip | 81008-2034
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Country | US
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Telephone | 719-292-1231
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Fax | 719-292-1230
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Provider Business Mailing Address
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Address Line | 2999 N 44TH ST STE 100
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City | PHOENIX
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State | AZ
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Zip | 85018-7247
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Country | US
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Telephone | 480-618-5760
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Fax | 602-253-5656
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Authorized Official
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Title or Position | COMPLIANCE OFFICER
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Name | SUSAN VALOCCHI
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Credential |
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Telephone | 480-618-5760
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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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