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General NPI Number Information
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NPI Number | 1700703220
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Entity Type | Organization
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Legal Business Name | SUMMIT STONE HEALTH PARTNERS
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Dates
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Enumeration Date | 07/06/2026
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Last Update Date | 07/06/2026
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Provider Practice Location Address
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Address Line | 4856 INNOVATION DR
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City | FORT COLLINS
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State | CO
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Zip | 80525-5539
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Country | US
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Telephone | 970-494-4200
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Fax | 844-270-1824
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Provider Business Mailing Address
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Address Line | 3450 RIVA RIDGE PL APT F208
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City | FORT COLLINS
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State | CO
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Zip | 80526-6383
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Country | US
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Telephone | 808-333-9880
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Fax |
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Authorized Official
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Title or Position | BEHAVIORAL HEALTH TECHNICIAN
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Name | DAPHNYE LUELLA RUPP-ZIMMERMAN
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Credential |
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Telephone | 808-333-9880
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 106S00000X
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Taxonomy Name | Behavior Technician
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License Number |
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License Number State |
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