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General NPI Number Information
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NPI Number | 1306772835
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Entity Type | Organization
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Legal Business Name | PSYCHIATRIC SERVICES OF THE ROCKIES CORPORATION
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Dates
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Enumeration Date | 06/22/2026
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Last Update Date | 06/22/2026
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Provider Practice Location Address
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Address Line | 2121 MIDPOINT DR STE 202
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City | FORT COLLINS
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State | CO
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Zip | 80525-4341
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Country | US
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Telephone | 970-632-9540
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Fax |
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Provider Business Mailing Address
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Address Line | 2121 MIDPOINT DR STE 202
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City | FORT COLLINS
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State | CO
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Zip | 80525-4341
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Country | US
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Telephone | 970-632-9540
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Fax |
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Authorized Official
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Title or Position | CREDENTIALING MANAGER
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Name | AMY WILLIAMSON
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Credential |
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Telephone | 303-578-9834
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number |
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License Number State |
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