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General NPI Number Information
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NPI Number | 1467469312
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Entity Type | Organization
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Legal Business Name | DENVER CHILDREN'S HOME
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Dates
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Enumeration Date | 08/02/2006
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Last Update Date | 07/22/2014
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Provider Practice Location Address
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Address Line | 1501 ALBION ST
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City | DENVER
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State | CO
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Zip | 80220-1028
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Country | US
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Telephone | 303-399-4890
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Fax | 303-320-8619
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Provider Business Mailing Address
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Address Line | 1501 ALBION ST
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City | DENVER
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State | CO
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Zip | 80220-1028
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Country | US
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Telephone | 303-399-4890
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Fax | 303-320-8619
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | DR. REBECCA HEA
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Credential | PSY D
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Telephone | 303-399-4890
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 322D00000X
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Taxonomy Name | Emotionally Disturbed Childrens' Residential Treatment Facility
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License Number | 49551
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License Number State | CO
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