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General NPI Number Information
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NPI Number | 1831583871
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Entity Type | Organization
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Legal Business Name | LYBARGER & ASSOCIATES INC
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Dates
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Enumeration Date | 03/27/2015
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Last Update Date | 10/13/2015
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Provider Practice Location Address
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Address Line | 12303 AIRPORT WAY SUITE 200
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City | BROOMFIELD
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State | CO
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Zip | 80021-2727
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Country | US
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Telephone | 303-421-8080
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Fax | 303-421-8048
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Provider Business Mailing Address
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Address Line | 12303 AIRPORT WAY SUITE 200
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City | BROOMFIELD
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State | CO
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Zip | 80021-2727
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Country | US
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Telephone | 303-421-8080
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Fax | 303-421-8048
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Authorized Official
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Title or Position | OWNER/ADMINISTRATOR
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Name | DR. JOHN STEVEN LYBARGER
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Credential | PHD
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Telephone | 303-552-9933
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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 | 04A933
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License Number State | CO
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