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General NPI Number Information
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NPI Number | 1689933558
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Entity Type | Organization
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Legal Business Name | AMERICAN CHARITIES, INC
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Dates
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Enumeration Date | 05/11/2012
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Last Update Date | 03/04/2016
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Provider Practice Location Address
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Address Line | 420 E 58TH AVE
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City | DENVER
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State | CO
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Zip | 80216-1430
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Country | US
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Telephone | 720-600-0201
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Fax |
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Provider Business Mailing Address
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Address Line | 420 E 58TH AVE
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City | DENVER
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State | CO
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Zip | 80216-1430
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Country | US
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Telephone | 720-600-0201
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Fax |
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Authorized Official
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Title or Position | BOARD PRESIDENT
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Name | MR. RYAN WILLIAMS EDDY
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Credential |
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Telephone | 818-231-8478
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | 1675-01
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License Number State | CO
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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