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General NPI Number Information
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NPI Number | 1679167704
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Entity Type | Organization
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Legal Business Name | ROCKY MOUNTAIN MFT
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Dates
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Enumeration Date | 03/01/2021
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Last Update Date | 03/01/2021
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Provider Practice Location Address
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Address Line | 1776 S JACKSON ST STE 1008
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City | DENVER
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State | CO
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Zip | 80210-3808
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Country | US
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Telephone | 303-929-1196
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Fax | 855-326-2300
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Provider Business Mailing Address
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Address Line | 8275 E 11TH AVE UNIT 202776
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City | DENVER
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State | CO
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Zip | 80220-6814
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Country | US
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Telephone | 303-929-1196
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Fax | 855-326-2300
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Authorized Official
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Title or Position | OWNER
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Name | JULIA OPPY
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Credential | MFT
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Telephone | 303-929-1196
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number |
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License Number State |
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