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General NPI Number Information
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NPI Number | 1801307111
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Entity Type | Organization
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Legal Business Name | SHIFO HOME HEALTH INC
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Dates
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Enumeration Date | 10/13/2017
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Last Update Date | 11/22/2021
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Provider Practice Location Address
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Address Line | 10700 E BETHANY DR STE 201
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City | AURORA
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State | CO
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Zip | 80014-2680
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Country | US
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Telephone | 303-484-9009
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Fax | 303-552-9146
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Provider Business Mailing Address
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Address Line | 10700 E BETHANY DR STE 201
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City | AURORA
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State | CO
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Zip | 80014-2680
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | SHAHNOZ YUSUFBEKOVA
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Credential | MBA
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Telephone | 303-484-9009
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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 | 04S722
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License Number State | CO
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