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General NPI Number Information
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NPI Number | 1962357400
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Entity Type | Organization
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Legal Business Name | BOULDER BUILD OPERATIONS LLC DBA BARNABAS REDWOOD MANOR
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Dates
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Enumeration Date | 03/02/2026
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Last Update Date | 03/02/2026
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Provider Practice Location Address
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Address Line | 1194 LANDON RD
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City | BOURBON
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State | MO
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Zip | 65441-8218
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Country | US
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Telephone | 573-468-8150
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Fax | 573-860-2601
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Provider Business Mailing Address
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Address Line | PO BOX 164
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City | SAINT CHARLES
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State | MO
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Zip | 63302-0164
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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 | DR. SARAH HUYNH ROBERTS
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Credential | PHARMD
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Telephone | 714-305-8085
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 320800000X
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Taxonomy Name | Mental Illness Community Based Residential Treatment Facility
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License Number |
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License Number State |
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