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General NPI Number Information
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NPI Number | 1760309082
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Entity Type | Organization
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Legal Business Name | COLORADO PSYCHIATRIC CLINIC
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Dates
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Enumeration Date | 06/30/2026
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Last Update Date | 06/30/2026
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Provider Practice Location Address
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Address Line | 7200 E HAMPDEN AVE STE 207D
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City | DENVER
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State | CO
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Zip | 80224-3021
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Country | US
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Telephone | 720-251-4711
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Fax | 512-407-9448
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Provider Business Mailing Address
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Address Line | 1600 W 38TH ST STE 421
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City | AUSTIN
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State | TX
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Zip | 78731-6407
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Country | US
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Telephone | 720-251-4711
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Fax | 512-407-9448
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Authorized Official
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Title or Position | OWNER/PRESIDENT/MEDICAL DIRECTOR
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Name | DR. BLAYNE HARRIS
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Credential | MD
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Telephone | 720-251-4711
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0802X
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Taxonomy Name | Addiction Psychiatry Physician
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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 | 2084P0804X
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Taxonomy Name | Child & Adolescent Psychiatry Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number |
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License Number State |
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