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General NPI Number Information
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NPI Number | 1952335143
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Entity Type | Organization
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Legal Business Name | BEACON RESPIRATORY SERVICES OF COLORADO, INC.
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Dates
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Enumeration Date | 07/11/2006
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 955 E 58TH AVE UNIT O
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City | DENVER
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State | CO
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Zip | 80216-1347
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Country | US
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Telephone | 303-383-0083
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Fax | 303-383-0082
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Provider Business Mailing Address
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Address Line | 3325 BARTLETT BLVD
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City | ORLANDO
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State | FL
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Zip | 32811-6428
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Country | US
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Telephone | 407-206-0040
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Fax | 407-206-0010
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Authorized Official
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Title or Position | DIRECTOR OF PROVIDER SERVICES
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Name | ELLYN RILEY
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Credential |
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Telephone | 407-206-0040
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number | 40923890000
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License Number State | CO
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Taxonomy #2
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Taxonomy Code | 332BX2000X
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Taxonomy Name | Oxygen Equipment & Supplies (DME)
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License Number |
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License Number State | CO
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