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General NPI Number Information
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NPI Number | 1932751815
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Entity Type | Organization
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Legal Business Name | VITALCARE CORPORATION
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Dates
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Enumeration Date | 07/11/2019
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Last Update Date | 02/12/2021
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Provider Practice Location Address
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Address Line | 1400 W 122ND AVE STE 140
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City | WESTMINSTER
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State | CO
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Zip | 80234-3440
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Country | US
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Telephone | 720-458-0642
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Fax | 720-815-3372
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Provider Business Mailing Address
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Address Line | 1400 W 122ND AVE STE 140
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City | WESTMINSTER
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State | CO
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Zip | 80234-3440
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Country | US
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Telephone | 720-458-0642
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Fax | 720-815-3372
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Authorized Official
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Title or Position | PRESIDENT, CEO
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Name | MATTHEW DOLPH
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Credential |
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Telephone | 720-458-0642
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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