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General NPI Number Information
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NPI Number | 1053440263
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Entity Type | Individual
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Provider Name | MAUREEN PATRICIA GRINER LPC
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Gender | Female
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Dates
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Enumeration Date | 03/05/2007
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 801 N WEBER ST APT 204
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City | COLORADO SPRINGS
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State | CO
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Zip | 80903-5927
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Country | US
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Telephone | 719-659-3531
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Fax |
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Provider Business Mailing Address
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Address Line | 6120 STEAMBOAT CT
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City | COLORADO SPRINGS
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State | CO
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Zip | 80919-2104
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Country | US
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Telephone | 719-659-3531
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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 | 4130
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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 | 4130
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License Number State | CO
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