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General NPI Number Information
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NPI Number | 1336729821
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Entity Type | Organization
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Legal Business Name | ROCKY HEIGHTS WELLNESS LLC
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Dates
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Enumeration Date | 04/09/2021
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Last Update Date | 02/28/2023
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Provider Practice Location Address
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Address Line | 10841 CROSSROADS DR STE 112
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City | PARKER
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State | CO
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Zip | 80134-9089
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Country | US
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Telephone | 720-545-5722
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Fax |
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Provider Business Mailing Address
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Address Line | 5325 NW 118TH AVE
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City | CORAL SPRINGS
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State | FL
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Zip | 33076-3228
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Country | US
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Telephone | 303-868-3134
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | BRIANA HAIGHT
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Credential | PMHNP-BC
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Telephone | 720-545-5722
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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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Taxonomy #2
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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