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General NPI Number Information
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NPI Number | 1760862130
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Entity Type | Organization
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Legal Business Name | GRENHART & ASSOCIATES, LLC
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Dates
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Enumeration Date | 06/01/2015
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Last Update Date | 08/13/2023
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Provider Practice Location Address
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Address Line | 3601 S CLARKSON STREET SUITE 540
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City | ENGLEWOOD
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State | CO
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Zip | 80113
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Country | US
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Telephone | 303-761-3520
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 366
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City | BAYFIELD
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State | CO
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Zip | 81122-0366
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Country | US
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Telephone | 303-332-6948
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | VICKI SAYRE
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Credential |
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Telephone | 303-423-6049
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 952
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License Number State | CO
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