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General NPI Number Information
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NPI Number | 1659713774
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Entity Type | Organization
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Legal Business Name | COLORADO ADDICTIONS CONSULTING
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Dates
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Enumeration Date | 07/18/2013
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Last Update Date | 09/10/2021
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Provider Practice Location Address
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Address Line | 1978 S GARRISON ST STE 110-112
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City | LAKEWOOD
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State | CO
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Zip | 80227-2282
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Country | US
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Telephone | 720-379-6590
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Fax | 720-379-6137
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Provider Business Mailing Address
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Address Line | 1978 S GARRISON ST STE 110-112
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City | LAKEWOOD
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State | CO
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Zip | 80227-2282
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Country | US
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Telephone | 720-379-6590
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Fax | 720-379-6137
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Authorized Official
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Title or Position | OWNER
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Name | MERRI E BALDWIN
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Credential |
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Telephone | 303-501-6921
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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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