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General NPI Number Information
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NPI Number | 1942852991
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Entity Type | Organization
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Legal Business Name | ARSEMA INC
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Dates
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Enumeration Date | 07/10/2019
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Last Update Date | 07/10/2019
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Provider Practice Location Address
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Address Line | 1450 S HAVANA ST STE 330
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City | AURORA
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State | CO
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Zip | 80012-4021
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Country | US
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Telephone | 702-771-1589
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Fax | 720-532-0249
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Provider Business Mailing Address
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Address Line | 1450 S HAVANA ST STE 330
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City | AURORA
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State | CO
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Zip | 80012-4021
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Country | US
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Telephone | 702-771-1589
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Fax | 720-532-0249
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | ANDU WORKNEH
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Credential |
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Telephone | 303-577-3202
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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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 | 320900000X
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Taxonomy Name | Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
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License Number |
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License Number State |
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