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General NPI Number Information
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NPI Number | 1013360478
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Entity Type | Organization
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Legal Business Name | JENNIFER SHIVEY, LLC
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Dates
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Enumeration Date | 07/20/2016
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Last Update Date | 07/20/2016
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Provider Practice Location Address
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Address Line | 1660 S ALBION ST SUITE 1026
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City | DENVER
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State | CO
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Zip | 80222-4008
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Country | US
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Telephone | 303-523-7594
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Fax |
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Provider Business Mailing Address
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Address Line | 1660 S ALBION ST SUITE 1026
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City | DENVER
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State | CO
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Zip | 80222-4008
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Country | US
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Telephone | 303-523-7594
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Fax |
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Authorized Official
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Title or Position | OWNER/THERPAIST
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Name | MS. JENNIFER SHIVEY
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Credential | MA, LPC, RPT
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Telephone | 303-523-7594
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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 | 11965
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License Number State | CO
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