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General NPI Number Information
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NPI Number | 1902372378
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Entity Type | Organization
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Legal Business Name | MILE HIGH CONTINUING CARE LLC
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Dates
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Enumeration Date | 10/23/2018
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Last Update Date | 07/01/2024
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Provider Practice Location Address
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Address Line | 1470 CLAYTON ST
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City | DENVER
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State | CO
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Zip | 80206-2411
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Country | US
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Telephone | 720-445-5729
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Fax |
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Provider Business Mailing Address
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Address Line | 1201 E COLFAX AVE STE 202
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City | DENVER
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State | CO
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Zip | 80218-2239
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Country | US
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Telephone | 720-445-5729
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | BRICE HANCOCK
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Credential |
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Telephone | 303-669-2809
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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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Taxonomy #2
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Taxonomy Code | 324500000X
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Taxonomy Name | Substance Abuse Rehabilitation Facility
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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 | 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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