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General NPI Number Information
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NPI Number | 1053777045
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Entity Type | Individual
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Provider Name | DR. RICHARD KERRY BRANDOW
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Gender | Male
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Dates
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Enumeration Date | 01/07/2016
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Last Update Date | 01/07/2016
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Provider Practice Location Address
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Address Line | 16625 W 50TH AVE.
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City | GOLDEN
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State | CO
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Zip | 80033
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Country | US
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Telephone | 720-350-2992
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Fax | 303-279-0290
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Provider Business Mailing Address
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Address Line | 10555 W 44TH AVE
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City | WHEAT RIDGE
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State | CO
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Zip | 80033-2705
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Country | US
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Telephone | 720-350-2992
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Fax | 303-279-0290
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 2781
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License Number State | CO
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