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General NPI Number Information
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NPI Number | 1093690828
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Entity Type | Organization
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Legal Business Name | AVA HEALTH, LLC
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Dates
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Enumeration Date | 08/11/2025
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Last Update Date | 08/11/2025
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Provider Practice Location Address
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Address Line | 2535 HALL AVE
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City | GRAND JUNCTION
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State | CO
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Zip | 81501-6237
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Country | US
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Telephone | 609-703-5006
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Fax |
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Provider Business Mailing Address
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Address Line | 2784 CROSSROADS BLVD
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City | GRAND JUNCTION
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State | CO
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Zip | 81506-8711
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Country | US
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Telephone | 609-703-5006
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Fax |
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Authorized Official
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Title or Position | CHIEF OPERATING OFFICER
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Name | IAN GERSHMAN
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Credential |
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Telephone | 609-703-5006
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 323P00000X
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Taxonomy Name | Psychiatric Residential Treatment Facility
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License Number |
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License Number State |
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