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General NPI Number Information
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NPI Number | 1780065573
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Entity Type | Organization
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Legal Business Name | ASCEND THERAPY SERVICES INC
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Dates
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Enumeration Date | 06/17/2015
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Last Update Date | 08/01/2023
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Provider Practice Location Address
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Address Line | 12200 E BRIARWOOD AVE UNIT 294
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City | CENTENNIAL
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State | CO
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Zip | 80112-6702
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Country | US
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Telephone | 720-384-7837
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Fax |
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Provider Business Mailing Address
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Address Line | 12200 E BRIARWOOD AVE UNIT 294
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City | CENTENNIAL
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State | CO
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Zip | 80112-6702
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Country | US
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Telephone | 720-384-7837
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | CRYSTAL HARTMAN
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Credential | M.A.
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Telephone | 720-384-7837
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | 6017
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License Number State | CO
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