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General NPI Number Information
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NPI Number | 1134844780
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Entity Type | Organization
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Legal Business Name | ROCKSOLID CARE INC.
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Dates
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Enumeration Date | 10/06/2022
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Last Update Date | 10/06/2022
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Provider Practice Location Address
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Address Line | 2116 HOLLOW BROOK DR STE 100
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City | COLORADO SPRINGS
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State | CO
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Zip | 80918-1443
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Country | US
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Telephone | 303-653-1336
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Fax |
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Provider Business Mailing Address
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Address Line | 17720 COUNTY ROAD 291
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City | NATHROP
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State | CO
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Zip | 81236-9777
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Country | US
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Telephone | 303-653-1336
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | LUCAS GLEN RICHARDSON
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Credential |
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Telephone | 303-653-1336
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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