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General NPI Number Information
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NPI Number | 1255205894
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Entity Type | Organization
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Legal Business Name | BLUEBIRD PSYCHIATRIC CARE PLLC
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Dates
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Enumeration Date | 10/04/2025
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Last Update Date | 10/04/2025
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Provider Practice Location Address
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Address Line | 8500 W BOWLES AVE STE 315
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City | LITTLETON
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State | CO
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Zip | 80123-3276
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Country | US
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Telephone | 970-293-9252
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Fax | 970-594-3715
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Provider Business Mailing Address
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Address Line | PO BOX 270254
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City | LITTLETON
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State | CO
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Zip | 80127-0005
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Country | US
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Telephone | 970-293-9252
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Fax | 970-594-3715
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Authorized Official
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Title or Position | OWNER/MANAGING MEMBER
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Name | CAMILLE KELLY
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Credential | MSN, APRN, PMHNP-BC
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Telephone | 970-293-9252
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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 |
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License Number State |
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