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General NPI Number Information
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NPI Number | 1235091570
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Entity Type | Organization
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Legal Business Name | PEER COACH ACADEMY COLORADO
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Dates
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Enumeration Date | 11/25/2025
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Last Update Date | 11/25/2025
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Provider Practice Location Address
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Address Line | 2204 OAKRIDGE LN
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City | COLORADO SPRINGS
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State | CO
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Zip | 80915-1017
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Country | US
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Telephone | 720-435-5320
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Fax |
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Provider Business Mailing Address
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Address Line | 2204 OAKRIDGE LN
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City | COLORADO SPRINGS
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State | CO
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Zip | 80915-1017
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Country | US
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Telephone | 720-435-5320
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | ROD RUSHING
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Credential | CAS
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Telephone | 720-435-5320
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3104A0625X
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Taxonomy Name | Assisted Living Facility (Mental Illness)
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License Number |
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License Number State |
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