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General NPI Number Information
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NPI Number | 1083350011
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Entity Type | Organization
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Legal Business Name | ROADS AND RIVERS THERAPEUTIC SERVICES
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Dates
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Enumeration Date | 05/11/2022
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Last Update Date | 03/28/2024
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Provider Practice Location Address
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Address Line | 3333 S WADSWORTH BLVD UNIT 201
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City | LAKEWOOD
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State | CO
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Zip | 80227-5141
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Country | US
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Telephone | 303-989-5534
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Fax |
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Provider Business Mailing Address
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Address Line | 1754 N LAFAYETTE ST
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City | DENVER
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State | CO
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Zip | 80218-1117
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Country | US
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Telephone | 303-474-4193
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | JENNIFER THORSTAD
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Credential |
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Telephone | 303-989-5534
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State |
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