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General NPI Number Information
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NPI Number | 1407574106
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Entity Type | Organization
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Legal Business Name | JOURNEY PSYCHIATRY P.C.
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Dates
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Enumeration Date | 08/18/2022
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Last Update Date | 08/18/2022
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Provider Practice Location Address
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Address Line | 430 BEACON LITE RD UNIT 140
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City | MONUMENT
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State | CO
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Zip | 80132-9146
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Country | US
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Telephone | 719-286-0809
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 340
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City | PALMER LAKE
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State | CO
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Zip | 80133-0340
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | JAIMEE TROYER
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Credential | PMHNP-BC
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Telephone | 719-286-0809
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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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