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General NPI Number Information
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NPI Number | 1003776006
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Entity Type | Individual
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Provider Name | MATS MOE
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Gender |
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Dates
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Enumeration Date | 11/13/2025
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Last Update Date | 11/13/2025
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Provider Practice Location Address
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Address Line | 3460 S FEDERAL BLVD
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City | ENGLEWOOD
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State | CO
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Zip | 80110-1967
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Country | US
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Telephone | 303-761-0200
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Fax |
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Provider Business Mailing Address
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Address Line | 10057 W 52ND PL UNIT 112
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City | WHEAT RIDGE
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State | CO
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Zip | 80033-6744
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number |
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License Number State |
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