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General NPI Number Information
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NPI Number | 1558212373
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Entity Type | Organization
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Legal Business Name | SANNYASA GRAY MENTAL HEALTH
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Dates
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Enumeration Date | 02/06/2026
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Last Update Date | 02/06/2026
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Provider Practice Location Address
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Address Line | 4025 GROVE ST
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City | DENVER
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State | CO
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Zip | 80211
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Country | US
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Telephone | 915-336-2125
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Fax | 720-680-3420
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Provider Business Mailing Address
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Address Line | 1312 17TH ST UNIT 2376
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City | DENVER
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State | CO
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Zip | 80202-1508
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Country | US
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Telephone | 915-336-2125
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Fax | 720-680-3420
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Authorized Official
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Title or Position | OWNER
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Name | KATELYN GRAY
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Credential | PMHNP-BC
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Telephone | 915-336-2125
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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