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General NPI Number Information
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NPI Number | 1982053518
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Entity Type | Organization
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Legal Business Name | SCHAEFER ENTERPRISES, INC.
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Dates
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Enumeration Date | 06/04/2016
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Last Update Date | 02/11/2022
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Provider Practice Location Address
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Address Line | 420 15TH STREET
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City | GREELEY
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State | CO
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Zip | 80631
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Country | US
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Telephone | 970-353-0662
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Fax | 970-353-2779
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Provider Business Mailing Address
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Address Line | PO BOX 200009
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City | EVANS
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State | CO
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Zip | 80620-0009
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Country | US
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Telephone | 970-353-0662
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Fax | 970-353-2779
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MRS. VALORIE ANNE RANDALL
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Credential | MASTERS DEGREE
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Telephone | 970-353-0662
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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 | 04L196
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License Number State | CO
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Taxonomy #2
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Taxonomy Code | 376J00000X
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Taxonomy Name | Homemaker
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 385H00000X
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Taxonomy Name | Respite Care
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License Number | 04L196
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License Number State | CO
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Taxonomy #4
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Taxonomy Code | 251C00000X
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Taxonomy Name | Developmentally Disabled Services Day Training Agency
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License Number |
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License Number State |
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