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General NPI Number Information
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NPI Number | 1205752052
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Entity Type | Individual
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Provider Name | JONATHAN JAMES REED PMHNP-BC APN
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Gender | Male
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Dates
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Enumeration Date | 06/25/2026
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Last Update Date | 06/25/2026
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Provider Practice Location Address
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Address Line | 135 BURNETT DR UNIT 4
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City | DURANGO
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State | CO
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Zip | 81301-7790
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Country | US
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Telephone | 970-769-0131
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Fax |
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Provider Business Mailing Address
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Address Line | 2505 BORREGO DR
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City | DURANGO
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State | CO
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Zip | 81301-5806
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | APN-1002042-NP
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License Number State | CO
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