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General NPI Number Information
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NPI Number | 1124488416
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Entity Type | Organization
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Legal Business Name | REYES CORPORATION
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Dates
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Enumeration Date | 02/29/2016
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Last Update Date | 08/24/2022
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Provider Practice Location Address
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Address Line | 3001 N. TAFT AVENUE SUITE 120
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City | LOVELAND
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State | CO
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Zip | 80538-4878
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Country | US
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Telephone | 970-663-2900
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Fax | 970-663-0900
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Provider Business Mailing Address
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Address Line | 1437 DENVER AVE # 325
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City | LOVELAND
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State | CO
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Zip | 80538-5226
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Country | US
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Telephone | 970-480-1702
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Fax |
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | STEPHANIE REYES
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Credential | MAC, LPC, LAC
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Telephone | 970-480-1702
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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 | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | 1595-03
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License Number State | CO
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