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General NPI Number Information
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NPI Number | 1427776236
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Entity Type | Organization
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Legal Business Name | PSYCHIATRIC SERVICES OF THE ROCKIES CORPORATION
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Dates
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Enumeration Date | 08/17/2022
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Last Update Date | 07/30/2025
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Provider Practice Location Address
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Address Line | 1124 E ELIZABETH ST STE C
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City | FORT COLLINS
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State | CO
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Zip | 80524-4051
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Country | US
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Telephone | 970-682-1582
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Fax | 970-631-8884
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Provider Business Mailing Address
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Address Line | 6605 THOMPSON DR
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City | FORT COLLINS
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State | CO
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Zip | 80526-4408
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Country | US
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Telephone | 970-978-5535
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Fax |
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Authorized Official
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Title or Position | AUTHORIZATION SPECIALIST
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Name | TESSA HAYES
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Credential |
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Telephone | 970-682-1582
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number |
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License Number State |
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