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General NPI Number Information
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NPI Number | 1023620440
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Entity Type | Organization
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Legal Business Name | PEER COACH ACADEMY COLORADO
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Dates
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Enumeration Date | 08/18/2020
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Last Update Date | 12/18/2025
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Provider Practice Location Address
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Address Line | 411 S CASCADE AVE STE 100
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City | COLORADO SPRINGS
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State | CO
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Zip | 80903-3811
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Country | US
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Telephone | 800-604-8978
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Fax |
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Provider Business Mailing Address
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Address Line | 411 S CASCADE AVE STE 100
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City | COLORADO SPRINGS
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State | CO
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Zip | 80903-3811
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Country | US
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Telephone | 800-604-8978
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | ROD E RUSHING
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Credential | CACIII
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Telephone | 720-435-5320
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0405X
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Taxonomy Name | Substance Use Disorder Rehabilitation Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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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 | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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