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General NPI Number Information
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NPI Number | 1255229845
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Entity Type | Organization
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Legal Business Name | PALOME CHILD AND FAMILY SPECIALISTS LLC
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Dates
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Enumeration Date | 06/24/2025
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Last Update Date | 06/24/2025
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Provider Practice Location Address
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Address Line | 6338 S US HIGHWAY 85-87
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City | FOUNTAIN
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State | CO
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Zip | 80817-1006
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Country | US
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Telephone | 719-651-8928
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Fax | 719-635-9946
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Provider Business Mailing Address
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Address Line | 6338 S US HIGHWAY 85-87
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City | FOUNTAIN
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State | CO
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Zip | 80817-1006
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Country | US
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Telephone | 719-651-8928
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Fax | 719-635-9946
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Authorized Official
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Title or Position | OWNER
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Name | LAURA E OLSON
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Credential |
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Telephone | 719-651-8928
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 324500000X
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Taxonomy Name | Substance Abuse Rehabilitation Facility
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License Number |
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License Number State |
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