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General NPI Number Information
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NPI Number | 1699356675
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Entity Type | Organization
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Legal Business Name | AG VENTURES LLC
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Dates
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Enumeration Date | 04/20/2021
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Last Update Date | 07/11/2025
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Provider Practice Location Address
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Address Line | 6475 WALL ST STE 150
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City | COLORADO SPRINGS
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State | CO
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Zip | 80918-8374
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Country | US
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Telephone | 719-235-2824
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Fax |
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Provider Business Mailing Address
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Address Line | 9235 N UNION BLVD STE 150-375
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City | COLORADO SPRINGS
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State | CO
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Zip | 80920-7831
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | AMBER GATES
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Credential | NP
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Telephone | 719-235-2824
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number |
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License Number State |
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