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General NPI Number Information
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NPI Number | 1700539285
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Entity Type | Organization
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Legal Business Name | URBAN PEAK DENVER
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Dates
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Enumeration Date | 02/03/2022
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Last Update Date | 06/19/2025
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Provider Practice Location Address
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Address Line | 1630 S ACOMA ST
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City | DENVER
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State | CO
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Zip | 80223-3602
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Country | US
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Telephone | 303-974-2900
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Fax | 970-485-3377
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Provider Business Mailing Address
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Address Line | 1630 S ACOMA ST
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City | DENVER
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State | CO
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Zip | 80223-3602
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Country | US
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Telephone | 303-974-2900
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Fax | 970-485-3377
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Authorized Official
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Title or Position | SR ACCOUNTANT MEDICAID MANAGER
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Name | CHRISTY RITZMAN
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Credential |
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Telephone | 303-974-2970
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 103G00000X
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Taxonomy Name | Clinical Neuropsychologist
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License Number |
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License Number State |
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