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General NPI Number Information
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NPI Number | 1326948050
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Entity Type | Organization
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Legal Business Name | BORN AGAIN LIVING LEADERS
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Dates
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Enumeration Date | 11/06/2026
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Last Update Date | 11/06/2026
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Provider Practice Location Address
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Address Line | 2679 GRAPE ST
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City | DENVER
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State | CO
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Zip | 80207-3257
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Country | US
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Telephone | 303-339-9101
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Fax |
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Provider Business Mailing Address
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Address Line | 17200 E ILIFF AVE STE A12
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City | AURORA
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State | CO
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Zip | 80013-5804
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Country | US
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Telephone | 303-339-9101
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MR. DAWAN SMITH SR.
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Credential | NCPS
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Telephone | 303-339-9101
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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