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General NPI Number Information
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NPI Number | 1821956509
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Entity Type | Organization
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Legal Business Name | RAVENWOOD RECOVERY LTD
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Dates
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Enumeration Date | 01/12/2026
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Last Update Date | 01/12/2026
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Provider Practice Location Address
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Address Line | 1974 MACON ST
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City | AURORA
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State | CO
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Zip | 80010-2540
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Country | US
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Telephone | 720-965-2944
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Fax |
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Provider Business Mailing Address
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Address Line | 455 N SHERMAN ST STE 120
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City | DENVER
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State | CO
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Zip | 80203-4403
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Country | US
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Telephone | 720-965-2944
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Fax |
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Authorized Official
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Title or Position | FOUNDER
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Name | MRS. TRACY ANNE GILBERT
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Credential | FOUNDER
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Telephone | 720-965-2944
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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 |
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License Number State |
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