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General NPI Number Information
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NPI Number | 1982249686
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Entity Type | Organization
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Legal Business Name | ANIMAL ASSISTED THERAPY OF THE WESTERN SLOPE
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Dates
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Enumeration Date | 11/17/2019
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Last Update Date | 04/16/2021
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Provider Practice Location Address
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Address Line | 640 GRAND AVE
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City | GRAND JUNCTION
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State | CO
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Zip | 81501-2738
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Country | US
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Telephone | 970-201-8180
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Fax |
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Provider Business Mailing Address
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Address Line | 1319 OURAY AVE
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City | GRAND JUNCTION
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State | CO
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Zip | 81501-4457
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Country | US
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Telephone | 970-201-8180
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | STACY L MENDELL
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Credential | LCSW
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Telephone | 970-201-8180
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number |
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License Number State |
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