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General NPI Number Information
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NPI Number | 1386566859
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Entity Type | Organization
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Legal Business Name | BLUE SPRIG PEDIATRICS
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Dates
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Enumeration Date | 07/28/2026
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Last Update Date | 07/28/2026
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Provider Practice Location Address
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Address Line | 1330 S POTOMAC ST STE 111
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City | AURORA
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State | CO
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Zip | 80012-4527
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Country | US
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Telephone | 720-845-6675
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Fax |
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Provider Business Mailing Address
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Address Line | 4699 KITTREDGE ST UNIT 1729
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City | DENVER
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State | CO
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Zip | 80239-5768
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Country | US
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Telephone | 720-412-8484
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Fax |
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Authorized Official
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Title or Position | RBT
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Name | MARKALISE MITCHELL
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Credential |
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Telephone | 281-826-3382
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251C00000X
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Taxonomy Name | Developmentally Disabled Services Day Training Agency
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License Number |
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License Number State |
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