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General NPI Number Information
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NPI Number | 1588289193
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Entity Type | Organization
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Legal Business Name | PLANTED RECOVERY INC
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Dates
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Enumeration Date | 06/09/2020
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Last Update Date | 06/09/2020
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Provider Practice Location Address
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Address Line | 801 W MINERAL AVE STE 201
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City | LITTLETON
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State | CO
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Zip | 80120-5663
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Country | US
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Telephone | 303-929-7822
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Fax | 888-518-3457
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Provider Business Mailing Address
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Address Line | 801 W MINERAL AVE STE 201
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City | LITTLETON
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State | CO
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Zip | 80120-5663
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Country | US
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Telephone | 303-929-7822
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Fax | 888-518-3457
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Authorized Official
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Title or Position | COO
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Name | AGNES POWELL
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Credential |
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Telephone | 303-929-7822
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number |
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License Number State |
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