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General NPI Number Information
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NPI Number | 1316758287
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Entity Type | Organization
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Legal Business Name | DAYSTAR PSYCHIATRIC SOLUTIONS, LLC
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Dates
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Enumeration Date | 01/18/2025
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Last Update Date | 01/26/2026
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Provider Practice Location Address
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Address Line | 23 S BEECH ST STE A100
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City | CORTEZ
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State | CO
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Zip | 81321-3751
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Country | US
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Telephone | 970-759-5669
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Fax | 833-562-2982
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Provider Business Mailing Address
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Address Line | PO BOX 306
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City | PLEASANT VIEW
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State | CO
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Zip | 81331-0306
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Country | US
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Telephone | 970-759-5669
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Fax | 833-562-2982
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Authorized Official
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Title or Position | OWNER/PROVIDER
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Name | DEBRAH DIANE ARCHER
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Credential | NP
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Telephone | 970-759-5669
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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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