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General NPI Number Information
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NPI Number | 1952980971
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Entity Type | Organization
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Legal Business Name | CLARITY HEALTH, PLLC
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Dates
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Enumeration Date | 04/06/2021
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Last Update Date | 05/12/2021
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Provider Practice Location Address
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Address Line | 3439 SE HAWTHORNE BLVD # 1108
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City | PORTLAND
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State | OR
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Zip | 97214-5048
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Country | US
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Telephone | 971-319-4411
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 6671
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City | COLORADO SPRINGS
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State | CO
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Zip | 80934-6671
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Country | US
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Telephone | 719-800-1183
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MS. JENNIFER R MILLER
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Credential | NP
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Telephone | 719-800-1183
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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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 | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 261QM0855X
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Taxonomy Name | Adolescent and Children Mental Health Clinic/Center
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License Number |
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License Number State |
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