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General NPI Number Information
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NPI Number | 1023936424
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Entity Type | Organization
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Legal Business Name | FORTIFYING WELLNESS INTEGRATIVE PSYCHIATRY CLINIC
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Dates
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Enumeration Date | 07/06/2026
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Last Update Date | 07/06/2026
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Provider Practice Location Address
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Address Line | 7345 S PIERCE ST STE 205
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City | LITTLETON
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State | CO
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Zip | 80128-4592
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Country | US
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Telephone | 720-432-0958
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Fax |
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Provider Business Mailing Address
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Address Line | 4760 S WADSWORTH BLVD UNIT D102
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City | DENVER
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State | CO
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Zip | 80123-1364
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Country | US
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Telephone | 719-661-7290
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Fax |
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Authorized Official
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Title or Position | FOUNDER/PSYCHIATRIST
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Name | DR. ERIC LEE WAGNER
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Credential | MD
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Telephone | 719-661-7290
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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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