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General NPI Number Information
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NPI Number | 1043917230
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Entity Type | Organization
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Legal Business Name | ALL SEASONS PSYCHIATRY LLC
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Dates
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Enumeration Date | 02/08/2023
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Last Update Date | 02/23/2023
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Provider Practice Location Address
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Address Line | 710 10TH ST # 220
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City | GOLDEN
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State | CO
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Zip | 80401-5835
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Country | US
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Telephone | 303-335-0707
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Fax |
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Provider Business Mailing Address
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Address Line | 1100 JOHNSON RD UNIT 18611
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City | GOLDEN
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State | CO
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Zip | 80402-7306
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Country | US
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Telephone | 303-335-0707
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Fax |
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Authorized Official
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Title or Position | PROVIDER
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Name | JESSICA REISS
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Credential | PMHNP, FNP
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Telephone | 303-335-0707
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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Taxonomy #2
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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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