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General NPI Number Information
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NPI Number | 1780530188
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Entity Type | Organization
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Legal Business Name | CARNATION CITY HEALTHCARE, INC.
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Dates
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Enumeration Date | 03/09/2026
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Last Update Date | 03/09/2026
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Provider Practice Location Address
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Address Line | 3835 HARLAN ST
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City | WHEAT RIDGE
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State | CO
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Zip | 80033-5111
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Country | US
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Telephone | 303-422-1533
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Fax | 949-540-3007
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Provider Business Mailing Address
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Address Line | 3835 HARLAN ST
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City | WHEAT RIDGE
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State | CO
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Zip | 80033-5111
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Country | US
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Telephone | 303-422-1533
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Fax | 949-540-3007
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Authorized Official
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Title or Position | SECRETARY
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Name | SOON BURNAM
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Credential |
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Telephone | 949-540-1249
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 385H00000X
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Taxonomy Name | Respite Care
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License Number |
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License Number State |
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