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General NPI Number Information
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NPI Number | 1790133981
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Entity Type | Organization
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Legal Business Name | PRISTINE HOME HEALTHCARE, INC.
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Dates
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Enumeration Date | 05/27/2016
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Last Update Date | 01/25/2019
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Provider Practice Location Address
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Address Line | 2953 S PEORIA ST STE 110
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City | AURORA
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State | CO
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Zip | 80014-5716
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Country | US
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Telephone | 720-232-3363
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Fax | 720-862-2752
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Provider Business Mailing Address
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Address Line | 2953 S PEORIA ST STE 110
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City | AURORA
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State | CO
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Zip | 80014-5716
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Country | US
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Telephone | 720-232-3363
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Fax | 720-862-2752
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Authorized Official
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Title or Position | PRESIDENT / OWNER
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Name | MICHAEL DEE MARLEY
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Credential |
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Telephone | 303-434-6390
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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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