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General NPI Number Information
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NPI Number | 1134493133
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Entity Type | Organization
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Legal Business Name | EATING RECOVERY CENTER
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Dates
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Enumeration Date | 03/08/2012
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Last Update Date | 04/19/2025
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Provider Practice Location Address
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Address Line | 8190 E 1ST AVE SUITE 105
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City | DENVER
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State | CO
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Zip | 80230-7211
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Country | US
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Telephone | 303-731-8871
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Fax |
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Provider Business Mailing Address
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Address Line | 1830 FRANKLIN ST SUITE 500
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City | DENVER
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State | CO
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Zip | 80218-1128
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Country | US
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Telephone | 303-731-8871
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Fax |
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Authorized Official
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Title or Position | THERAPIST
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Name | MISS JOCELYN NICOLE JENKINS
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Credential | LPC
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Telephone | 303-478-1342
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 283Q00000X
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Taxonomy Name | Psychiatric Hospital
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License Number | 101YP2500X
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License Number State | CO
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