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NPI 1215895586

NPI 1215895586 : FORGET-ME-NOT COMPREHENSIVE CARE, LLC : COLORADO SPRINGS, CO

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General NPI Number Information
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    NPI Number           |    1215895586
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    Entity Type          |    Organization 
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    Legal Business Name  |    FORGET-ME-NOT COMPREHENSIVE CARE, LLC 
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Dates
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    Enumeration Date     |    01/14/2026
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    Last Update Date     |    01/14/2026
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Provider Practice Location Address
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    Address Line         |    1425 N UNION BLVD 
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    City                 |    COLORADO SPRINGS
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    State                |    CO
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    Zip                  |    80909-2871
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    Country              |    US
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    Telephone            |    719-922-7906
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    Fax                  |    720-367-5263
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Provider Business Mailing Address
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    Address Line         |    1425 N UNION BLVD 
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    City                 |    COLORADO SPRINGS
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    State                |    CO
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    Zip                  |    80909-2871
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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    |    BILLING MANAGER
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    Name                 |     AMANDA  SHIELDS 
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    Credential           |    
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    Telephone            |    719-922-0746
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    235Z00000X
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    Taxonomy Name        |    Speech-Language Pathologist
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    License Number       |    
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    License Number State |    
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