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General NPI Number Information
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NPI Number | 1902599012
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Entity Type | Organization
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Legal Business Name | THRIVE HEALTH AND WELLNESS
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Dates
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Enumeration Date | 06/02/2023
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Last Update Date | 06/02/2023
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Provider Practice Location Address
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Address Line | 88 INVERNESS CIR E UNIT A204
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City | ENGLEWOOD
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State | CO
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Zip | 80112-5521
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Country | US
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Telephone | 303-790-8446
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Fax | 303-799-8175
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Provider Business Mailing Address
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Address Line | 88 INVERNESS CIR E UNIT A204
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City | ENGLEWOOD
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State | CO
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Zip | 80112-5521
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Country | US
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Telephone | 303-790-8446
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Fax | 303-799-8175
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Authorized Official
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Title or Position | OWNER-ADMINISTARTOR
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Name | DOUG HATCH
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Credential |
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Telephone | 303-790-8446
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number |
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License Number State |
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