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General NPI Number Information
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NPI Number | 1407771736
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Entity Type | Organization
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Legal Business Name | THRIVEMD OF COLORADO PC
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Dates
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Enumeration Date | 08/13/2026
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Last Update Date | 08/13/2026
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Provider Practice Location Address
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Address Line | 280 MAIN ST UNIT C-104
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City | EDWARDS
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State | CO
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Zip | 81632-8501
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Country | US
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Telephone | 970-766-8245
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Fax |
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Provider Business Mailing Address
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Address Line | 7400 E CALEY AVE STE 150
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City | CENTENNIAL
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State | CO
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Zip | 80111-6915
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Country | US
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Telephone | 720-575-7878
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Fax | 888-491-7137
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Authorized Official
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Title or Position | RDO
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Name | AMY YOUNT
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Credential |
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Telephone | 720-575-7878
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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