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General NPI Number Information
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NPI Number | 1003533399
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Entity Type | Organization
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Legal Business Name | FRESH PATH INTEGRATIVE PSYCHIATRY
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Dates
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Enumeration Date | 10/26/2022
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Last Update Date | 10/26/2022
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Provider Practice Location Address
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Address Line | 80 BIG SPRINGS DRIVE SUITE 305
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City | NEDERALND
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State | CO
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Zip | 80466
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Country | US
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Telephone | 303-418-6451
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Fax |
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Provider Business Mailing Address
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Address Line | 1942 BROADWAY STE 3140
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City | BOULDER
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State | CO
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Zip | 80302-5213
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | SARAH SCHUMACHER
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Credential |
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Telephone | 303-418-6451
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number |
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License Number State |
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