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General NPI Number Information
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NPI Number | 1023793668
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Entity Type | Organization
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Legal Business Name | ALL IS WELL FAMILY PRACTICE
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Dates
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Enumeration Date | 06/20/2023
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Last Update Date | 04/22/2025
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Provider Practice Location Address
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Address Line | 7076 S ALTON WAY STE G1
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City | CENTENNIAL
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State | CO
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Zip | 80112-2027
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Country | US
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Telephone | 720-800-3565
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Fax | 720-405-4192
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Provider Business Mailing Address
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Address Line | PO BOX 4602
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City | GREENWOOD VILLAGE
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State | CO
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Zip | 80155-4602
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Country | US
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Telephone | 720-800-3565
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Fax |
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Authorized Official
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Title or Position | AGENT
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Name | MR. MARTIN JOSEPH RIOS
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Credential |
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Telephone | 720-800-3565
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number |
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License Number State |
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