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General NPI Number Information
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NPI Number | 1780868224
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Entity Type | Organization
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Legal Business Name | SPECIAL NEEDS NETWORK
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Dates
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Enumeration Date | 12/19/2007
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Last Update Date | 03/16/2023
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Provider Practice Location Address
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Address Line | 6612 FIG ST # 103
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City | ARVADA
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State | CO
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Zip | 80004-1044
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Country | US
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Telephone | 303-403-9169
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Fax | 303-431-2766
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Provider Business Mailing Address
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Address Line | 6612 FIG ST UNIT 103
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City | ARVADA
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State | CO
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Zip | 80004-1027
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Country | US
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Telephone | 303-403-9169
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Fax | 303-431-2766
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Authorized Official
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Title or Position | PRESIDENT
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Name | SCOTT DOUGLAS FEAVEL
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Credential |
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Telephone | 303-403-9169
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 335G00000X
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Taxonomy Name | Medical Foods Supplier
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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 | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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