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General NPI Number Information
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NPI Number | 1043718026
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Entity Type | Organization
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Legal Business Name | PSYCH ARTS LLC
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Dates
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Enumeration Date | 01/25/2018
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Last Update Date | 08/04/2022
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Provider Practice Location Address
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Address Line | 12750 E VASSAR DR
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City | AURORA
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State | CO
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Zip | 80014-1937
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Country | US
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Telephone | 720-357-3800
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Fax |
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Provider Business Mailing Address
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Address Line | CMR 467 BOX 6586
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City | APO
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State | AE
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Zip | 09096-0066
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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 | DIRECTOR
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Name | JUSTIN GRIEPENTROG
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Credential | BSW MSW LCSW-C
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Telephone | 720-357-3800
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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