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General NPI Number Information
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NPI Number | 1881216091
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Entity Type | Organization
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Legal Business Name | ARRAY CLINICAL AND THERAPEUTIC SERVICES
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Dates
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Enumeration Date | 05/11/2020
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Last Update Date | 01/13/2021
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Provider Practice Location Address
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Address Line | 451 21ST AVE STE B
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City | LONGMONT
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State | CO
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Zip | 80501-1483
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Country | US
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Telephone | 800-440-1652
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Fax | 970-775-8107
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Provider Business Mailing Address
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Address Line | 451 21ST AVE STE B
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City | LONGMONT
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State | CO
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Zip | 80501-1483
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Country | US
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Telephone | 800-440-1652
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Fax | 303-545-5296
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Authorized Official
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Title or Position | CHIEF DEVELOPMENT OFFICER
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Name | JENNIFER KELLY ORDWAY
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Credential |
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Telephone | 303-824-9350
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State |
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