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General NPI Number Information
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NPI Number | 1184327348
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Entity Type | Organization
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Legal Business Name | BE WELL PROJECT
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Dates
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Enumeration Date | 03/24/2023
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Last Update Date | 03/24/2023
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Provider Practice Location Address
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Address Line | 19284 COTTONWOOD DR STE 200
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City | PARKER
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State | CO
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Zip | 80138-3881
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Country | US
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Telephone | 720-213-8863
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Fax |
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Provider Business Mailing Address
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Address Line | 12922 IRONSTONE WAY APT 302
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City | PARKER
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State | CO
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Zip | 80134-7115
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Country | US
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Telephone | 720-213-8863
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Fax |
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Authorized Official
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Title or Position | OWNER/THERAPIST
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Name | JACQUELYN ANN ERWIN
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Credential | LPC
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Telephone | 720-238-8863
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number |
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License Number State |
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