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General NPI Number Information
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NPI Number | 1790908036
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Entity Type | Organization
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Legal Business Name | SHILOH HOME INC.
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Dates
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Enumeration Date | 04/11/2007
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Last Update Date | 10/25/2021
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Provider Practice Location Address
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Address Line | 7227 S YARROW CT
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City | LITTLETON
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State | CO
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Zip | 80128-4351
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Country | US
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Telephone | 303-932-9599
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Fax |
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Provider Business Mailing Address
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Address Line | 6400 W COAL MINE AVE
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City | LITTLETON
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State | CO
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Zip | 80123-4501
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Country | US
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Telephone | 303-932-9599
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Fax |
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Authorized Official
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Title or Position | CHIEF EXECUTIVE OFFICER
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Name | MR. STEVEN RAMIREZ
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Credential |
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Telephone | 303-932-9599
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 322D00000X
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Taxonomy Name | Emotionally Disturbed Childrens' Residential Treatment Facility
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License Number | 70967
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License Number State | CO
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