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General NPI Number Information
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NPI Number | 1780330639
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Entity Type | Organization
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Legal Business Name | ONEWELL OF COLORADO, LLC
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Dates
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Enumeration Date | 03/01/2022
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Last Update Date | 04/16/2025
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Provider Practice Location Address
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Address Line | 2141 OREGON PIKE
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City | LANCASTER
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State | PA
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Zip | 17601-4604
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Country | US
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Telephone | 717-617-2706
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Fax |
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Provider Business Mailing Address
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Address Line | 2141 OREGON PIKE
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City | LANCASTER
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State | PA
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Zip | 17601-4604
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Country | US
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Telephone | 717-617-2706
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Fax |
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Authorized Official
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Title or Position | VP OF REGULATORY AND COMPLIANCE
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Name | TIFFANY JUDGE
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Credential |
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Telephone | 717-598-2871
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251C00000X
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Taxonomy Name | Developmentally Disabled Services Day Training Agency
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License Number |
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License Number State | NULL
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Taxonomy #2
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number |
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License Number State | NULL
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Taxonomy #3
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Taxonomy Code | 164W00000X
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Taxonomy Name | Licensed Practical Nurse
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License Number |
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License Number State | NULL
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Taxonomy #4
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State | NULL
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