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General NPI Number Information
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NPI Number | 1922691252
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Entity Type | Organization
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Legal Business Name | HC269 LLC
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Dates
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Enumeration Date | 02/17/2021
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Last Update Date | 02/17/2021
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Provider Practice Location Address
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Address Line | 4101 TAYLORSVILLE RD STE 200
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City | LOUISVILLE
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State | KY
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Zip | 40220-1567
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Country | US
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Telephone | 720-449-6019
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Fax |
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Provider Business Mailing Address
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Address Line | 1615 PLATTE ST FL 2
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City | DENVER
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State | CO
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Zip | 80202-1581
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Country | US
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Telephone | 720-449-6049
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Fax |
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Authorized Official
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Title or Position | MANAGING MEMBER
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Name | ANDREW POZATEK
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Credential |
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Telephone | 720-449-6019
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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