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General NPI Number Information
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NPI Number | 1740172030
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Entity Type | Organization
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Legal Business Name | MONARCH RECOVERY SERVICES, LLC
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Dates
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Enumeration Date | 07/19/2025
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Last Update Date | 07/19/2025
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Provider Practice Location Address
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Address Line | 2145 KIPLING ST
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City | LAKEWOOD
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State | CO
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Zip | 80215-1503
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Country | US
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Telephone | 928-231-4731
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Fax |
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Provider Business Mailing Address
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Address Line | 12310 W 38TH AVE
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City | WHEAT RIDGE
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State | CO
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Zip | 80033-3839
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Country | US
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Telephone | 928-231-4731
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Fax |
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | CALI PETERSON
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Credential |
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Telephone | 928-231-4731
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 175T00000X
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Taxonomy Name | Peer Specialist
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number |
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License Number State |
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