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General NPI Number Information
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NPI Number | 1104448802
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Entity Type | Organization
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Legal Business Name | CROSSROADS TURNING POINTS INC
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Dates
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Enumeration Date | 05/15/2020
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Last Update Date | 07/02/2025
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Provider Practice Location Address
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Address Line | 509 E 13TH ST
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City | PUEBLO
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State | CO
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Zip | 81001-2940
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Country | US
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Telephone | 719-546-6666
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Fax | 719-404-0138
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Provider Business Mailing Address
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Address Line | 4 MONTEBELLO RD
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City | PUEBLO
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State | CO
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Zip | 81001-1237
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Country | US
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Telephone | 719-546-6667
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Fax | 719-546-8273
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Authorized Official
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Title or Position | CREDENTIALING & ENROLLMENT SPEC
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Name | BANAFSHE' KING
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Credential |
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Telephone | 719-419-7959
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0405X
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Taxonomy Name | Substance Use Disorder Rehabilitation Clinic/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 | 324500000X
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Taxonomy Name | Substance Abuse Rehabilitation Facility
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 261QM2800X
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Taxonomy Name | Methadone Clinic
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License Number |
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License Number State |
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