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General NPI Number Information
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NPI Number | 1821154295
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Entity Type | Organization
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Legal Business Name | HAND UP HOMES FOR YOUTH
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Dates
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Enumeration Date | 12/29/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 801 COFFMAN ROAD
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City | WHITEWATER
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State | CO
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Zip | 81527
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Country | US
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Telephone | 970-255-8000
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Fax | 970-255-9199
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Provider Business Mailing Address
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Address Line | PO BOX 130
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City | WHITEWATER
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State | CO
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Zip | 81527-0130
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Country | US
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Telephone | 970-255-8000
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Fax | 970-255-9199
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Authorized Official
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Title or Position | PROGRAM DIRECTOR
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Name | MS. MERI MIYASAKI
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Credential |
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Telephone | 970-255-8000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 322D00000X
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Taxonomy Name | Emotionally Disturbed Childrens' Residential Treatment Facility
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License Number |
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License Number State | CO
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