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General NPI Number Information
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NPI Number | 1205087582
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Entity Type | Organization
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Legal Business Name | OUTPATIENT BEHAVIORAL HEALTH SERVICES
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Dates
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Enumeration Date | 10/06/2008
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Last Update Date | 10/06/2008
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Provider Practice Location Address
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Address Line | 777 BANNOCK ST
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City | DENVER
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State | CO
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Zip | 80204-4507
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Country | US
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Telephone | 303-436-3186
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Fax | 303-436-6204
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Provider Business Mailing Address
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Address Line | 777 BANNOCK ST
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City | DENVER
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State | CO
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Zip | 80204-4507
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Country | US
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Telephone | 303-436-3186
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Fax | 303-436-6204
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Authorized Official
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Title or Position | LEAD ADDICTIONS COUNSELOR
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Name | MRS. HARRIET ELIZABETH HILL
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Credential | CAC III
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Telephone | 303-436-3186
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number | 6656
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License Number State | CO
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