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General NPI Number Information
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NPI Number | 1104783018
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Entity Type | Organization
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Legal Business Name | GO GROW 2 INC
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Dates
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Enumeration Date | 01/05/2026
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Last Update Date | 01/05/2026
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Provider Practice Location Address
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Address Line | 102 S TEJON ST
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City | COLORADO SPRINGS
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State | CO
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Zip | 80903-2231
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Country | US
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Telephone | 732-554-8383
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Fax |
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Provider Business Mailing Address
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Address Line | 102 S TEJON ST STE 1100
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City | COLORADO SPRINGS
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State | CO
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Zip | 80903-2253
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Country | US
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Telephone | 732-554-8383
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | JACOB MEISELS
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Credential |
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Telephone | 732-554-8383
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number |
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License Number State |
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