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General NPI Number Information
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NPI Number | 1851026918
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Entity Type | Organization
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Legal Business Name | EUTIERRIA MENTAL HEALTH PLLC
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Dates
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Enumeration Date | 07/21/2022
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Last Update Date | 08/31/2022
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Provider Practice Location Address
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Address Line | 1762 HOFFMAN DR STE 114
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City | LOVELAND
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State | CO
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Zip | 80538-4292
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Country | US
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Telephone | 970-222-5258
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Fax |
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Provider Business Mailing Address
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Address Line | 117 E 37TH ST # 335
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City | LOVELAND
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State | CO
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Zip | 80538-2306
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Country | US
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Telephone | 970-222-5258
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Fax |
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Authorized Official
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Title or Position | SOLE PROPRIETOR
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Name | COLINA DEMECIA HILL
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Credential | PMHNP-BC
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Telephone | 970-222-5258
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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