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General NPI Number Information
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NPI Number | 1609390053
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Entity Type | Organization
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Legal Business Name | AUGUST ADVICE
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Dates
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Enumeration Date | 07/27/2017
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Last Update Date | 04/06/2022
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Provider Practice Location Address
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Address Line | 5540 N ACADEMY BLVD STE 210
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City | COLORADO SPRINGS
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State | CO
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Zip | 80918-3696
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Country | US
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Telephone | 719-330-3366
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Fax | 719-212-1671
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Provider Business Mailing Address
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Address Line | 19955 E TOP O THE MOOR DR
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City | MONUMENT
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State | CO
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Zip | 80132-9313
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Country | US
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Telephone | 719-453-5780
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Fax | 719-653-9946
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Authorized Official
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Title or Position | OWNER
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Name | VINCENT BRUNO
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Credential | LPC
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Telephone | 719-453-5780
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number | LPC0005002
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License Number State | CO
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