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General NPI Number Information
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NPI Number | 1265220289
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Entity Type | Organization
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Legal Business Name | MESA DEVELOPMENTAL SERVICES DBA STRIVE
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Dates
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Enumeration Date | 04/29/2025
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Last Update Date | 04/30/2025
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Provider Practice Location Address
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Address Line | 790 WELLINGTON AVE
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City | GRAND JUNCTION
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State | CO
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Zip | 81501-6132
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Country | US
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Telephone | 970-256-8637
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Fax | 970-256-8637
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Provider Business Mailing Address
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Address Line | 790 WELLINGTON AVE # 81501
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City | GRAND JUNCTION
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State | CO
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Zip | 81501-6132
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Country | US
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Telephone | 970-256-8637
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Fax | 970-256-8637
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Authorized Official
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Title or Position | ACCOUNTANT
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Name | MICHELE A BURNS
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Credential |
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Telephone | 970-256-8637
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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