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General NPI Number Information
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NPI Number | 1891499000
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Entity Type | Organization
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Legal Business Name | ASPIRING MINDS PSYCHOLOGICAL SERVICES, LLC
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Dates
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Enumeration Date | 03/30/2023
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Last Update Date | 01/25/2024
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Provider Practice Location Address
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Address Line | 5155 N ACADEMY BLVD STE 100
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City | COLORADO SPRINGS
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State | CO
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Zip | 80918-4053
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Country | US
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Telephone | 719-493-5619
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Fax |
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Provider Business Mailing Address
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Address Line | 11815 SHORTHORN RD
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City | PEYTON
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State | CO
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Zip | 80831-7150
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Country | US
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Telephone | 719-492-9914
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Fax |
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Authorized Official
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Title or Position | LICENSED PSYCHOLOGIST
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Name | DR. MELANIE DOREEN HOFFMAN
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Credential | PHD
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Telephone | 719-492-9914
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number |
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License Number State |
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