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General NPI Number Information
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NPI Number | 1558169573
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Entity Type | Organization
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Legal Business Name | ANANEO MHTLS, LLC
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Dates
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Enumeration Date | 03/05/2025
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Last Update Date | 03/05/2025
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Provider Practice Location Address
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Address Line | 6690 E MISSISSIPPI AVE
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City | DENVER
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State | CO
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Zip | 80224-1816
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Country | US
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Telephone | 303-276-0369
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Fax |
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Provider Business Mailing Address
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Address Line | 1600 RACE ST
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City | DENVER
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State | CO
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Zip | 80206-1112
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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 | CO-OWNER
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Name | JOEY FRIEDMANN
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Credential |
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Telephone | 301-775-8655
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 320800000X
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Taxonomy Name | Mental Illness Community Based Residential Treatment Facility
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License Number |
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License Number State |
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