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General NPI Number Information
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NPI Number | 1770247702
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Entity Type | Organization
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Legal Business Name | ALLIANCE MENTAL HEALTH - COLORADO LLC
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Dates
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Enumeration Date | 10/26/2021
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Last Update Date | 06/17/2025
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Provider Practice Location Address
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Address Line | 2601 S LEMAY AVE UNIT 3
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City | FORT COLLINS
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State | CO
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Zip | 80525-2247
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Country | US
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Telephone | 303-928-1051
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 12192
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City | DENVER
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State | CO
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Zip | 80212-0192
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Country | US
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Telephone | 303-928-1051
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | RON LOBATO
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Credential |
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Telephone | 303-928-1051
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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Taxonomy #2
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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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