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General NPI Number Information
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NPI Number | 1750690608
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Entity Type | Organization
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Legal Business Name | ADVANCED HOME CARE, INC.
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Dates
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Enumeration Date | 09/27/2010
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Last Update Date | 09/27/2010
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Provider Practice Location Address
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Address Line | 3273 S TRUCKEE WAY 18-101
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City | AURORA
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State | CO
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Zip | 80013-6120
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Country | US
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Telephone | 720-364-1064
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Fax |
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Provider Business Mailing Address
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Address Line | 3273 S TRUCKEE WAY 18-101
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City | AURORA
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State | CO
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Zip | 80013-6120
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Country | US
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Telephone | 720-364-1064
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. ERROL EDWIN BUTLER
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Credential |
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Telephone | 720-364-1064
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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 | 153631
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License Number State | CO
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