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NPI 1194649780

NPI 1194649780 : HOPE DEALERS RECOVERY AND WELLNESS COLORADO LLC : PUEBLO, CO

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General NPI Number Information
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    NPI Number           |    1194649780
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    Entity Type          |    Organization 
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    Legal Business Name  |    HOPE DEALERS RECOVERY AND WELLNESS COLORADO LLC 
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Dates
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    Enumeration Date     |    08/06/2026
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    Last Update Date     |    08/06/2026
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Provider Practice Location Address
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    Address Line         |    503 N MAIN ST STE 544 
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    City                 |    PUEBLO
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    State                |    CO
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    Zip                  |    81003-3141
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    Country              |    US
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    Telephone            |    719-714-3800
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    7525 SILVERDALE ST 
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    City                 |    COLORADO SPRINGS
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    State                |    CO
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    Zip                  |    80911-9329
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    Country              |    US
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    Telephone            |    719-452-9073
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    Fax                  |    
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |    MR. JOHN DAVID CRITCHFIELD JR.
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    Credential           |    QBHA/CPFS
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    Telephone            |    719-452-9073
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    175T00000X
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    Taxonomy Name        |    Peer Specialist
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    License Number       |    
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    License Number State |    
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