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General NPI Number Information
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NPI Number | 1003761073
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Entity Type | Individual
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Provider Name | KENDALL SMITH
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Gender | Female
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Dates
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Enumeration Date | 03/03/2026
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Last Update Date | 03/03/2026
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Provider Practice Location Address
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Address Line | 110 2ND AVE STE 202
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City | FRISCO
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State | CO
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Zip | 80443-5005
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Country | US
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Telephone | 970-639-1681
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 3702
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City | WINTER PARK
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State | CO
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Zip | 80482-3702
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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 |
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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.0024411
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License Number State | CO
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