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General NPI Number Information
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NPI Number | 1851896906
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Entity Type | Organization
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Legal Business Name | COLORADO PALLIATIVE & HOSPICE CARE LLC
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Dates
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Enumeration Date | 03/29/2018
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Last Update Date | 04/08/2025
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Provider Practice Location Address
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Address Line | 6551 S REVERE PKWY STE 130
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City | CENTENNIAL
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State | CO
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Zip | 80111-6410
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Country | US
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Telephone | 303-727-5709
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Fax | 303-727-5710
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Provider Business Mailing Address
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Address Line | 6551 S REVERE PKWY STE 130
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City | CENTENNIAL
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State | CO
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Zip | 80111-6410
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Country | US
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Telephone | 303-727-5709
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Fax | 303-727-5710
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Authorized Official
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Title or Position | CEO
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Name | RYAN CURTIS GRUHALA
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Credential |
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Telephone | 573-220-4073
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251G00000X
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Taxonomy Name | Community Based Hospice Care Agency
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License Number | 061600
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License Number State | CO
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