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General NPI Number Information
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NPI Number | 1447289707
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Entity Type | Organization
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Legal Business Name | HEALING IN MOTION
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Dates
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Enumeration Date | 06/30/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 8000 S LINCOLN ST SUITE 210
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City | LITTLETON
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State | CO
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Zip | 80122-2714
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Country | US
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Telephone | 303-587-9206
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Fax | 303-730-3740
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Provider Business Mailing Address
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Address Line | 8000 S LINCOLN ST SUITE 210
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City | LITTLETON
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State | CO
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Zip | 80122-2714
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Country | US
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Telephone | 303-587-9206
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Fax | 303-730-3740
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Authorized Official
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Title or Position | THERAPIST/ PUBLIC RELATIONS REP.
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Name | KJERSTEN E OSTROM-CONDOJANI
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Credential | M.A., CAC III
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Telephone | 303-587-9206
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 5769
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License Number State | CO
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Taxonomy #2
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 6060
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License Number State | CO
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Taxonomy #3
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 6335
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License Number State | CO
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