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General NPI Number Information
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NPI Number | 1659232072
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Entity Type | Organization
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Legal Business Name | DEEP WATERS PSYCHIATRY & WELLNESS PLLC
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Dates
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Enumeration Date | 11/24/2025
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Last Update Date | 12/03/2025
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Provider Practice Location Address
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Address Line | 1635 FOXTRAIL DR. STE 103
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City | LOVELAND
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State | CO
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Zip | 80538
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Country | US
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Telephone | 347-603-2018
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Fax |
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Provider Business Mailing Address
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Address Line | 2519 S SHIELDS ST STE 1K PMB 875
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City | FORT COLLINS
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State | CO
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Zip | 80526
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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 | OWNER/MANAGING MEMBER
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Name | JULIA BELOVA-ROSS
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Credential | PMHNP-BC
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Telephone | 970-489-4294
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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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