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General NPI Number Information
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NPI Number | 1063129054
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Entity Type | Organization
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Legal Business Name | DENVER FAMILY INSTITUTE
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Dates
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Enumeration Date | 10/31/2022
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Last Update Date | 01/06/2023
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Provider Practice Location Address
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Address Line | 3600 S YOSEMITE ST STE 1050
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City | DENVER
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State | CO
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Zip | 80237-1852
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Country | US
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Telephone | 720-218-5240
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Fax |
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Provider Business Mailing Address
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Address Line | 3600 S YOSEMITE ST STE 1050
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City | DENVER
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State | CO
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Zip | 80237-1852
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Country | US
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Telephone | 720-218-5240
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Fax |
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Authorized Official
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Title or Position | CLINIC DIRECTOR
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Name | GWEN BONILLA
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Credential | LSW
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Telephone | 720-218-5240
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number |
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License Number State |
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