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General NPI Number Information
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NPI Number | 1780576942
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Entity Type | Organization
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Legal Business Name | REGENERATIVE HEALTH AND WELLNESS, INC.
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Dates
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Enumeration Date | 07/21/2025
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Last Update Date | 07/21/2025
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Provider Practice Location Address
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Address Line | 5731 SILVERSTONE TER STE 250
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City | COLORADO SPRINGS
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State | CO
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Zip | 80919-3545
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Country | US
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Telephone | 719-635-0144
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Fax |
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Provider Business Mailing Address
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Address Line | 5731 SILVERSTONE TER STE 250
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City | COLORADO SPRINGS
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State | CO
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Zip | 80919-3545
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Country | US
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Telephone | 719-635-0144
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Fax |
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | JENNIFER HOLDREN
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Credential |
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Telephone | 719-635-0144
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207VX0201X
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Taxonomy Name | Gynecologic Oncology 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 | 2083B0002X
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Taxonomy Name | Obesity Medicine (Preventive Medicine) 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 | 363LW0102X
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Taxonomy Name | Women's Health Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 363LX0001X
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Taxonomy Name | Obstetrics & Gynecology Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number |
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License Number State |
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