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General NPI Number Information
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NPI Number | 1912793894
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Entity Type | Organization
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Legal Business Name | MILE HIGH PSYCHIATRY, LLC
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Dates
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Enumeration Date | 04/16/2025
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Last Update Date | 04/16/2025
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Provider Practice Location Address
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Address Line | 11150 HURON ST STE 209
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City | NORTHGLENN
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State | CO
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Zip | 80234-4378
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Country | US
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Telephone | 720-507-4779
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Fax | 833-941-5047
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Provider Business Mailing Address
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Address Line | 17667 E KETTLE PL
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City | CENTENNIAL
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State | CO
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Zip | 80016-1878
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | DIR. OR REVENUE ANALYTICS & STRATEG
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Name | CHRISTINA MALTESE
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Credential |
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Telephone | 720-355-3299
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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