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General NPI Number Information
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NPI Number | 1407746670
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Entity Type | Organization
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Legal Business Name | BUCKY THE WONDERHORSE
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Dates
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Enumeration Date | 07/08/2025
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Last Update Date | 07/08/2025
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Provider Practice Location Address
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Address Line | 6923 E VILLANOVA PL
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City | DENVER
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State | CO
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Zip | 80224-2648
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Country | US
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Telephone | 214-738-5561
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Fax |
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Provider Business Mailing Address
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Address Line | 1905 N SHERMAN ST STE 200
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City | DENVER
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State | CO
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Zip | 80203-1132
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Country | US
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Telephone | 303-956-7871
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | WEICHEN CHEN
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Credential | MSN, PMHNP-BC
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Telephone | 303-956-7871
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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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