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General NPI Number Information
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NPI Number | 1992245377
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Entity Type | Organization
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Legal Business Name | INNOVATIONS, LLC
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Dates
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Enumeration Date | 03/03/2017
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Last Update Date | 03/03/2017
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Provider Practice Location Address
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Address Line | 2731 1/2 S SHERMAN ST
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City | ENGLEWOOD
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State | CO
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Zip | 80113-1618
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Country | US
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Telephone | 507-254-1775
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Fax |
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Provider Business Mailing Address
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Address Line | 2731 1/2 S SHERMAN ST
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City | ENGLEWOOD
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State | CO
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Zip | 80113-1618
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Country | US
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Telephone | 507-254-1775
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Fax |
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Authorized Official
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Title or Position | OWNER/MANAGER
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Name | KELSEY A STEEDMAN
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Credential |
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Telephone | 507-254-1775
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 385H00000X
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Taxonomy Name | Respite Care
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License Number |
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License Number State |
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