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General NPI Number Information
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NPI Number | 1104713924
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Entity Type | Organization
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Legal Business Name | CATHOLIC CHARITIES AND COMMUNITY SERVICES OF THE ARCHDIOCESE OF DENVER
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Dates
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Enumeration Date | 06/23/2025
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Last Update Date | 06/23/2025
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Provider Practice Location Address
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Address Line | 6853 S PRINCE ST
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City | LITTLETON
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State | CO
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Zip | 80120-3535
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Country | US
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Telephone | 720-377-1359
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Fax |
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Provider Business Mailing Address
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Address Line | 6240 SMITH RD
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City | DENVER
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State | CO
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Zip | 80216-4632
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CLINICAL MANAGER
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Name | ALBERT LEROY PACE
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Credential |
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Telephone | 303-524-5578
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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