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General NPI Number Information
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NPI Number | 1679140347
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Entity Type | Organization
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Legal Business Name | SIGNAL BEHAVIORAL HEALTH NETWORK
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Dates
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Enumeration Date | 06/09/2021
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Last Update Date | 06/09/2021
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Provider Practice Location Address
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Address Line | 6130 GREENWOOD PLAZA BLVD UNIT 150
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City | GREENWOOD VILLAGE
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State | CO
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Zip | 80111-4854
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Country | US
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Telephone | 303-639-9320
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Fax | 303-639-9241
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Provider Business Mailing Address
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Address Line | 6130 GREENWOOD PLAZA BLVD UNIT 150
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City | GREENWOOD VILLAGE
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State | CO
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Zip | 80111-4854
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Country | US
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Telephone | 303-639-9320
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Fax | 303-639-9241
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Authorized Official
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Title or Position | DIRECTOR
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Name | DR. LESLIE GRAHAM WINTER
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Credential | MD
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Telephone | 303-639-9320
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0405X
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Taxonomy Name | Substance Use Disorder Rehabilitation Clinic/Center
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License Number |
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License Number State |
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