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General NPI Number Information
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NPI Number | 1700355591
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Entity Type | Organization
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Legal Business Name | SABABA HEALTH GROUP-OUTCOMES AND ANALYTICS
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Dates
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Enumeration Date | 11/21/2018
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Last Update Date | 11/21/2018
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Provider Practice Location Address
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Address Line | 5910 S UNIVERSITY BLVD C18 #318
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City | GREENWOOD VILLAGE
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State | CO
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Zip | 80121-2883
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Country | US
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Telephone | 720-532-8008
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Fax |
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Provider Business Mailing Address
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Address Line | 5910 S UNIVERSITY BLVD C18 #318
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City | GREENWOOD VILLAGE
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State | CO
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Zip | 80121-2883
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Country | US
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Telephone | 720-532-8008
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Fax |
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Authorized Official
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Title or Position | CHIEF MEDICAL DIRECTOR
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Name | DR. SCOTT J PRIMACK
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Credential | DO
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Telephone | 720-255-5105
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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