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General NPI Number Information
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NPI Number | 1932057544
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Entity Type | Organization
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Legal Business Name | MILESTONES MOMENTS CO LLC
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Dates
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Enumeration Date | 03/19/2026
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Last Update Date | 03/19/2026
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Provider Practice Location Address
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Address Line | 1601 29TH ST UNIT 1292
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City | BOULDER
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State | CO
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Zip | 80301-1010
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Country | US
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Telephone | 770-872-9757
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Fax |
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Provider Business Mailing Address
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Address Line | 1601 29TH ST UNIT 1292
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City | BOULDER
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State | CO
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Zip | 80301-1010
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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 | PRESIDENT
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Name | STUART GELBTUCH
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Credential |
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Telephone | 770-872-9757
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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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 | 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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