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General NPI Number Information
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NPI Number | 1982143947
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Entity Type | Organization
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Legal Business Name | FIRST CARE OF COLORADO, INC
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Dates
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Enumeration Date | 02/22/2017
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Last Update Date | 07/12/2021
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Provider Practice Location Address
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Address Line | 6825 E TENNESSEE AVE STE 500
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City | DENVER
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State | CO
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Zip | 80224-1633
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Country | US
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Telephone | 720-440-9226
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Fax | 720-612-7362
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Provider Business Mailing Address
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Address Line | 78 JACKSON ST UNIT H
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City | DENVER
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State | CO
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Zip | 80206-5586
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Country | US
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Telephone | 303-246-1290
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Fax | 303-993-7840
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Authorized Official
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Title or Position | PRESIDENT
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Name | DIMITRY GERSHMAN
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Credential |
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Telephone | 303-246-1290
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number | 04H951
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License Number State | CO
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