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General NPI Number Information
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NPI Number | 1871246512
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Entity Type | Organization
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Legal Business Name | KE'NEKT,LLC
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Dates
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Enumeration Date | 02/02/2022
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Last Update Date | 02/02/2022
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Provider Practice Location Address
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Address Line | 8354 E NORTHFIELD BLVD STE 330
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City | DENVER
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State | CO
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Zip | 80238-3131
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Country | US
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Telephone | 720-709-4722
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Fax |
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Provider Business Mailing Address
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Address Line | 8354 E NORTHFIELD BLVD STE 330
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City | DENVER
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State | CO
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Zip | 80238-3131
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Country | US
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Telephone | 720-709-4722
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Fax |
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Authorized Official
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Title or Position | MANAGING DIRECTOR
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Name | TERI D SMITH
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Credential |
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Telephone | 303-995-7585
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0405X
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Taxonomy Name | Substance Use Disorder Rehabilitation Clinic/Center
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License Number |
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License Number State |
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