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General NPI Number Information
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NPI Number | 1154101970
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Entity Type | Organization
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Legal Business Name | PEAK FORENSIC PSYCH SERVICES
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Dates
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Enumeration Date | 09/29/2023
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Last Update Date | 12/03/2025
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Provider Practice Location Address
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Address Line | 5360 N ACADEMY BLVD STE 240
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City | COLORADO SPRINGS
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State | CO
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Zip | 80918-4090
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Country | US
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Telephone | 719-725-7235
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Fax |
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Provider Business Mailing Address
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Address Line | 5360 N ACADEMY BLVD STE 240
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City | COLORADO SPRINGS
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State | CO
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Zip | 80918-4090
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Country | US
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Telephone | 719-725-7235
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Fax | 303-200-7353
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Authorized Official
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Title or Position | CEO
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Name | SCOTT MICHAEL VANNESS
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Credential |
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Telephone | 719-651-5102
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number |
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License Number State |
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