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General NPI Number Information
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NPI Number | 1346918042
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Entity Type | Organization
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Legal Business Name | MONUMENTAL HEALTH AND WELLNESS LLC
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Dates
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Enumeration Date | 08/30/2021
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Last Update Date | 08/11/2022
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Provider Practice Location Address
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Address Line | 627 24 1/2 RD STE F
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City | GRAND JUNCTION
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State | CO
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Zip | 81505-1277
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Country | US
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Telephone | 970-852-2749
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Fax | 833-596-1567
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Provider Business Mailing Address
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Address Line | 627 24 1/2 RD STE F
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City | GRAND JUNCTION
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State | CO
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Zip | 81505-1277
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Country | US
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Telephone | 970-644-5013
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Fax | 970-658-1138
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Authorized Official
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Title or Position | CO-OWNER
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Name | MELINDA BETH ALLEN
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Credential | DNP
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Telephone | 970-644-5013
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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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