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General NPI Number Information
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NPI Number | 1801349105
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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 | 08/03/2016
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Last Update Date | 11/05/2021
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Provider Practice Location Address
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Address Line | 9700 E EASTER LANE
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City | CENTENNIAL
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State | CO
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Zip | 80112
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Country | US
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Telephone | 720-213-1400
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Fax | 720-213-1060
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Provider Business Mailing Address
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Address Line | 6588 W OTTAWA AVE
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City | LITTLETON
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State | CO
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Zip | 80128-4572
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Country | US
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Telephone | 303-933-1393
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Fax | 303-933-8216
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Authorized Official
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Title or Position | CEO
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Name | STEVEN RAMIREZ
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Credential |
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Telephone | 303-933-1393
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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 | 1672508
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License Number State | CO
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