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General NPI Number Information
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NPI Number | 1609483965
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Entity Type | Organization
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Legal Business Name | THREE TREES HEALTH AND WELLNESS
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Dates
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Enumeration Date | 09/30/2020
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Last Update Date | 09/30/2020
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Provider Practice Location Address
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Address Line | 6221 HARTMAN DR
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City | COLORADO SPRINGS
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State | CO
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Zip | 80923-3836
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Country | US
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Telephone | 248-342-2712
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Fax |
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Provider Business Mailing Address
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Address Line | 6221 HARTMAN DR
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City | COLORADO SPRINGS
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State | CO
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Zip | 80923-3836
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Country | US
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Telephone | 248-342-2712
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Fax |
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Authorized Official
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Title or Position | OWNER/OCCUPATIONAL THERAPIST
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Name | STACY L DOBBS
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Credential | MOT, OTR/L
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Telephone | 248-342-2712
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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