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General NPI Number Information
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NPI Number | 1720804941
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Entity Type | Organization
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Legal Business Name | ALL-TERRAIN BEHAVIOR HEALTH GROUP
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Dates
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Enumeration Date | 12/03/2024
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Last Update Date | 12/03/2024
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Provider Practice Location Address
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Address Line | 1834 VINEWOOD LN STE 214
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City | PUEBLO
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State | CO
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Zip | 81005-2559
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Country | US
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Telephone | 719-726-8811
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Fax |
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Provider Business Mailing Address
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Address Line | 6805 CORPORATE DR STE 120
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City | COLORADO SPRINGS
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State | CO
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Zip | 80919-1977
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Country | US
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Telephone | 719-726-8811
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | TODD ROWE
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Credential | PHD, LMFT
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Telephone | 719-229-8879
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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