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General NPI Number Information
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NPI Number | 1962292961
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Entity Type | Organization
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Legal Business Name | GRIT THERAPY
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Dates
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Enumeration Date | 05/12/2025
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Last Update Date | 05/12/2025
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Provider Practice Location Address
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Address Line | 4251 KIPLING ST UNIT 230
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City | WHEAT RIDGE
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State | CO
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Zip | 80033-6835
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Country | US
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Telephone | 720-600-7447
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Fax |
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Provider Business Mailing Address
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Address Line | 8250 DELAWARE ST
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City | DENVER
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State | CO
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Zip | 80221-4474
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Country | US
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Telephone | 801-580-9255
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Fax |
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Authorized Official
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Title or Position | OWNER/CLINICAL DIRECTOR
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Name | JANE D THATCHER
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Credential | LCSW
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Telephone | 801-580-9255
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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