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General NPI Number Information
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NPI Number | 1992639348
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Entity Type | Organization
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Legal Business Name | DGH THERAPY LLC
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Dates
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Enumeration Date | 06/10/2026
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Last Update Date | 06/10/2026
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Provider Practice Location Address
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Address Line | 3555 STANFORD RD STE 200F
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City | FORT COLLINS
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State | CO
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Zip | 80525-4510
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Country | US
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Telephone | 720-722-5677
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Fax |
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Provider Business Mailing Address
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Address Line | 4880 ROOSEVELT AVE
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City | LOVELAND
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State | CO
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Zip | 80538-1729
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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 | OWNER
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Name | DANIEL GIFFORD HERTEL
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Credential |
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Telephone | 720-354-0047
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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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