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NPI 1922689108

NPI 1922689108 : HOPE ROOTS : FORT COLLINS, CO

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General NPI Number Information
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    NPI Number           |    1922689108
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    Entity Type          |    Organization 
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    Legal Business Name  |    HOPE ROOTS 
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Dates
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    Enumeration Date     |    04/19/2021
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    Last Update Date     |    11/20/2025
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Provider Practice Location Address
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    Address Line         |    109 CAMERON DR BLDG A 
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    City                 |    FORT COLLINS
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    State                |    CO
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    Zip                  |    80525-3961
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    Country              |    US
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    Telephone            |    970-412-2905
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    2120 S COLLEGE AVE STE 7 
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    City                 |    FORT COLLINS
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    State                |    CO
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    Zip                  |    80525-1465
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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    |    DIRECTOR
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    Name                 |     SARAH A JOSEPH 
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    Credential           |    
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    Telephone            |    970-412-2905
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    101Y00000X
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    Taxonomy Name        |    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        |    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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