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General NPI Number Information
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NPI Number | 1497665848
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Entity Type | Organization
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Legal Business Name | PATHWAYS OF LIFE RECOVERY SERVICES, LLC
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Dates
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Enumeration Date | 09/09/2026
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Last Update Date | 09/09/2026
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Provider Practice Location Address
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Address Line | 6100 SMITH RD
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City | DENVER
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State | CO
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Zip | 80216-4631
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Country | US
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Telephone | 303-953-3927
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Fax |
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Provider Business Mailing Address
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Address Line | 6100 SMITH RD
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City | DENVER
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State | CO
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Zip | 80216-4631
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Country | US
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Telephone | 303-953-3927
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Fax |
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | KYLE PATRICK MCPHERSON
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Credential | CAS
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Telephone | 970-449-3970
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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Taxonomy #2
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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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