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General NPI Number Information
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NPI Number | 1043561533
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Entity Type | Organization
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Legal Business Name | D.D. CHALLENGES, INCORPORATED
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Dates
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Enumeration Date | 09/25/2012
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Last Update Date | 01/10/2023
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Provider Practice Location Address
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Address Line | 14261 EAST 4TH AVENUE BUILDING 6, SUITE 305
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City | DENVER
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State | CO
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Zip | 80011
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Country | US
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Telephone | 720-297-7063
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Fax | 303-344-0182
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Provider Business Mailing Address
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Address Line | 850 S WHEELING ST
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City | AURORA
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State | CO
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Zip | 80012-3566
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Country | US
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Telephone | 720-297-7063
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Fax | 303-344-0182
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. CLYDE SIDNEY ALTUM
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Credential | LPC, CAC II
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Telephone | 720-297-7063
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number | 6383
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License Number State | CO
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