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General NPI Number Information
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NPI Number | 1487263489
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Entity Type | Organization
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Legal Business Name | ASPENRIDGE COLORADO SPRINGS LLC
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Dates
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Enumeration Date | 07/24/2020
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Last Update Date | 01/13/2021
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Provider Practice Location Address
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Address Line | 2860 S CIRCLE DR STE G30A
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City | COLORADO SPRINGS
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State | CO
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Zip | 80906-4113
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Country | US
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Telephone | 720-583-4533
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Fax |
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Provider Business Mailing Address
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Address Line | 10155 W KENTUCKY DR
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City | LAKEWOOD
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State | CO
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Zip | 80226-7521
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Country | US
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Telephone | 720-583-4533
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Fax |
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Authorized Official
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Title or Position | CFO
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Name | ALEX LOUCKS
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Credential |
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Telephone | 720-330-3632
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0405X
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Taxonomy Name | Substance Use Disorder Rehabilitation Clinic/Center
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License Number |
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License Number State |
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