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General NPI Number Information
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NPI Number | 1487577680
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Entity Type | Organization
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Legal Business Name | ANCHOR AND BLOOM MENTAL HEALTH
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Dates
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Enumeration Date | 08/03/2026
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Last Update Date | 08/03/2026
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Provider Practice Location Address
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Address Line | 4337 TENNYSON ST UNIT 105
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City | DENVER
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State | CO
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Zip | 80212-2480
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Country | US
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Telephone | 303-622-3669
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Fax |
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Provider Business Mailing Address
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Address Line | 2921 W 38TH AVE # 231
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City | DENVER
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State | CO
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Zip | 80211-2019
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | CHANTELLE ERICKSON
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Credential |
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Telephone | 719-650-4428
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number |
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License Number State |
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