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General NPI Number Information
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NPI Number | 1942400411
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Entity Type | Organization
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Legal Business Name | ADVANCED HOME HEALTHCARE LLC
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Dates
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Enumeration Date | 07/23/2007
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Last Update Date | 03/27/2012
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Provider Practice Location Address
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Address Line | 1730 S COLLEGE AVE STE. 304
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City | FORT COLLINS
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State | CO
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Zip | 80525-1073
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Country | US
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Telephone | 970-493-8500
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Fax | 970-493-8508
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Provider Business Mailing Address
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Address Line | 1730 S COLLEGE AVE STE. 304
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City | FORT COLLINS
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State | CO
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Zip | 80525-1073
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Country | US
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Telephone | 970-493-8500
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Fax | 970-493-8508
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Authorized Official
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Title or Position | OWNER ADMINISTRATOR
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Name | MS. FARRELL DEE BROWN
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Credential | LPN
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Telephone | 970-493-1899
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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 |
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License Number State |
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