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General NPI Number Information
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NPI Number | 1750095550
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Entity Type | Organization
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Legal Business Name | FOOTHILLS HEALTH LLC
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Dates
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Enumeration Date | 01/06/2023
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Last Update Date | 01/17/2023
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Provider Practice Location Address
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Address Line | 1527 COLE BLVD STE 275
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City | LAKEWOOD
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State | CO
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Zip | 80401-3420
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Country | US
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Telephone | 402-670-3975
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Fax |
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Provider Business Mailing Address
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Address Line | 12650 W 64TH AVE # 306
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City | ARVADA
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State | CO
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Zip | 80004-3893
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Country | US
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Telephone | 402-670-3975
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | KATIE MORGENSTERN
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Credential |
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Telephone | 402-670-3975
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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