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General NPI Number Information
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NPI Number | 1851762223
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Entity Type | Organization
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Legal Business Name | ALTERNATIVE SUPPORT INCORPORATED
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Dates
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Enumeration Date | 10/12/2015
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Last Update Date | 03/01/2021
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Provider Practice Location Address
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Address Line | 8933 E UNION AVE STE 212
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City | GREENWOOD VILLAGE
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State | CO
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Zip | 80111-1357
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Country | US
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Telephone | 303-993-5464
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Fax | 303-993-5522
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Provider Business Mailing Address
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Address Line | 8933 E UNION AVE STE 212
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City | GREENWOOD VILLAGE
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State | CO
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Zip | 80111-1357
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Country | US
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Telephone | 303-993-5464
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Fax | 303-993-5522
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MARTIN LAWRENCE
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Credential | CEO
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Telephone | 303-993-5464
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 373H00000X
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Taxonomy Name | Day Training/Habilitation Specialist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 385H00000X
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Taxonomy Name | Respite Care
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 251C00000X
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Taxonomy Name | Developmentally Disabled Services Day Training Agency
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License Number | 37985825
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License Number State | CO
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