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NPI 1174153068

NPI 1174153068 : ARATA PSYCHIATRY GROUP : GRAND JUNCTION, CO

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General NPI Number Information
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    NPI Number           |    1174153068
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    Entity Type          |    Organization 
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    Legal Business Name  |    ARATA PSYCHIATRY GROUP 
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Dates
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    Enumeration Date     |    01/20/2020
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    Last Update Date     |    03/15/2021
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Provider Practice Location Address
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    Address Line         |    2764 COMPASS DR STE 229 
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    City                 |    GRAND JUNCTION
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    State                |    CO
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    Zip                  |    81506-8722
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    Country              |    US
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    Telephone            |    970-639-0830
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    Fax                  |    970-433-7624
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Provider Business Mailing Address
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    Address Line         |    2764 COMPASS DR STE 229 
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    City                 |    GRAND JUNCTION
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    State                |    CO
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    Zip                  |    81506-8722
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    Country              |    US
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    Telephone            |    970-639-0830
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    Fax                  |    970-433-7624
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Authorized Official
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    Title or Position    |    OFFICE ADMINISTRATOR
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    Name                 |     RAELYNN  HILGENFELD 
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    Credential           |    
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    Telephone            |    970-639-0830
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    363LP0808X
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    Taxonomy Name        |    Psychiatric/Mental Health Nurse Practitioner
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    License Number       |    
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    License Number State |    
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