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General NPI Number Information
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NPI Number | 1346018587
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Entity Type | Organization
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Legal Business Name | KEMET HEALTH ONE LLC
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Dates
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Enumeration Date | 12/18/2023
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Last Update Date | 09/02/2025
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Provider Practice Location Address
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Address Line | 250 FILLMORE ST UNIT 150
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City | DENVER
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State | CO
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Zip | 80206-5001
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Country | US
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Telephone | 703-256-1600
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Fax |
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Provider Business Mailing Address
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Address Line | 169 MADISON AVE # 11841
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City | NEW YORK
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State | NY
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Zip | 10016-5101
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Country | US
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Telephone | 703-256-1600
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Fax |
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Authorized Official
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Title or Position | COO
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Name | MR. ANDREW SCHNECK
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Credential |
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Telephone | 703-256-1600
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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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 | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number |
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License Number State |
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