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NPI 1912807546

NPI 1912807546 : RELIANT HEALTH LLC : PUEBLO, CO

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General NPI Number Information
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    NPI Number           |    1912807546
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    Entity Type          |    Organization 
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    Legal Business Name  |    RELIANT HEALTH LLC 
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Dates
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    Enumeration Date     |    11/07/2026
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    Last Update Date     |    11/07/2026
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Provider Practice Location Address
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    Address Line         |    1612 BONFORTE BLVD STE C 
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    City                 |    PUEBLO
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    State                |    CO
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    Zip                  |    81001-1603
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    Country              |    US
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    Telephone            |    214-859-8710
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    Fax                  |    810-202-7909
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Provider Business Mailing Address
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    Address Line         |    1612 BONFORTE BLVD STE C 
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    City                 |    PUEBLO
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    State                |    CO
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    Zip                  |    81001-1603
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    Country              |    US
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    Telephone            |    214-859-8710
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    Fax                  |    810-202-7909
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |    DR. ANTHONY  EMEGO 
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    Credential           |    DNP
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    Telephone            |    214-859-8710
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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