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General NPI Number Information
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NPI Number | 1790576528
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Entity Type | Organization
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Legal Business Name | KALEIDOSCOPE RECOVERY & PEER CENTER, LLC
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Dates
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Enumeration Date | 05/13/2025
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Last Update Date | 10/15/2025
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Provider Practice Location Address
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Address Line | 4485 WADSWORTH BLVD STE 110
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City | WHEAT RIDGE
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State | CO
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Zip | 80033-3309
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Country | US
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Telephone | 303-483-5646
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Fax | 303-800-9789
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Provider Business Mailing Address
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Address Line | 4485 WADSWORTH BLVD STE 110
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City | WHEAT RIDGE
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State | CO
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Zip | 80033-3309
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Country | US
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Telephone | 303-483-5646
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Fax | 303-800-9789
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Authorized Official
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Title or Position | CEO/OWNER
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Name | LAURIE ANTONIA PERLMAN
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Credential |
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Telephone | 720-737-9991
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 175T00000X
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Taxonomy Name | Peer Specialist
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License Number |
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License Number State |
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