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General NPI Number Information
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NPI Number | 1003514183
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Entity Type | Individual
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Provider Name | DEVON CHARLES EDWARDS MA, LPC
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Gender | Male
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Dates
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Enumeration Date | 02/20/2023
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Last Update Date | 02/11/2025
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Provider Practice Location Address
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Address Line | 155 INVERNESS DR W STE 100
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City | ENGLEWOOD
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State | CO
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Zip | 80112-5000
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Country | US
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Telephone | 303-730-8858
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Fax |
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Provider Business Mailing Address
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Address Line | 116 INVERNESS DR E STE 105
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City | ENGLEWOOD
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State | CO
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Zip | 80112-5125
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Country | US
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Telephone | 303-730-8858
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | LPCC.0019634
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License Number State | CO
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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | LPC.0021892
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License Number State | CO
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