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General NPI Number Information
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NPI Number | 1740335785
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Entity Type | Organization
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Legal Business Name | ROCKY MOUNTAIN PSYCHIATRIC SERVICES LLC
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Dates
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Enumeration Date | 01/23/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 200 COFFMAN ST SUITE 204
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City | LONGMONT
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State | CO
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Zip | 80501-5919
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Country | US
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Telephone | 303-485-3457
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Fax | 720-494-7713
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Provider Business Mailing Address
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Address Line | 200 COFFMAN ST SUITE 204
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City | LONGMONT
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State | CO
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Zip | 80501-5919
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Country | US
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Telephone | 303-485-3457
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Fax | 720-494-7713
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. KEVIN JOSEPH DOBI
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Credential | NP
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Telephone | 303-485-3457
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 94062
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License Number State | CO
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