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General NPI Number Information
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NPI Number | 1225991169
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Entity Type | Organization
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Legal Business Name | REVERB STUDIO LLC
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Dates
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Enumeration Date | 12/08/2025
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Last Update Date | 12/08/2025
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Provider Practice Location Address
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Address Line | 1036 E 7TH ST APT B
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City | LOVELAND
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State | CO
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Zip | 80537-4956
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Country | US
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Telephone | 970-232-1997
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Fax |
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Provider Business Mailing Address
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Address Line | 1036 E 7TH ST APT B
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City | LOVELAND
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State | CO
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Zip | 80537-4956
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Country | US
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Telephone | 970-232-1997
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | KELSEY MEIGS
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Credential | MT-BC
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Telephone | 505-264-4535
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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