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General NPI Number Information
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NPI Number | 1679836159
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Entity Type | Organization
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Legal Business Name | EATING RECOVERY CENTER
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Dates
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Enumeration Date | 06/20/2012
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Last Update Date | 04/19/2025
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Provider Practice Location Address
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Address Line | 8190 E 1ST AVE SUITE 100
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City | DENVER
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State | CO
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Zip | 80230-7211
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Country | US
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Telephone | 303-731-8900
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Fax |
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Provider Business Mailing Address
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Address Line | 600 S CHERRY ST SUITE 600
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City | GLENDALE
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State | CO
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Zip | 80246-1702
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Country | US
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Telephone | 303-825-8589
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Fax | 720-214-4609
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Authorized Official
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Title or Position | BUSINESS SERVICES DIRECTOR
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Name | MRS. CYNDI EDDINGTON
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Credential |
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Telephone | 303-825-8572
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 133V00000X
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Taxonomy Name | Registered Dietitian
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number |
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License Number State |
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