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General NPI Number Information
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NPI Number | 1790199669
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Entity Type | Organization
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Legal Business Name | REJUV HOME CARE
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Dates
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Enumeration Date | 06/18/2014
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Last Update Date | 06/18/2014
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Provider Practice Location Address
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Address Line | 10433 S PARKER RD
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City | PARKER
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State | CO
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Zip | 80134-9038
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Country | US
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Telephone | 303-337-6030
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Fax | 303-993-5940
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Provider Business Mailing Address
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Address Line | 10433 S PARKER RD
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City | PARKER
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State | CO
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Zip | 80134-9038
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Country | US
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Telephone | 303-337-6030
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Fax | 303-993-5940
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Authorized Official
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Title or Position | PRESIDENT3033376030
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Name | MIRIAM ROBINSON
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Credential |
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Telephone | 303-337-6030
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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 | 04Y306
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License Number State | CO
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Taxonomy #2
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 04J976
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License Number State | CO
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