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General NPI Number Information
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NPI Number | 1053901579
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Entity Type | Organization
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Legal Business Name | CASA OF THE SEVENTH JUDICIAL DISTRICT
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Dates
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Enumeration Date | 01/19/2021
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Last Update Date | 01/19/2021
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Provider Practice Location Address
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Address Line | 147 N TOWNSEND AVE
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City | MONTROSE
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State | CO
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Zip | 81401-3759
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Country | US
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Telephone | 970-901-5296
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Fax |
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Provider Business Mailing Address
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Address Line | 147 N TOWNSEND AVE
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City | MONTROSE
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State | CO
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Zip | 81401-3759
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Country | US
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Telephone | 970-901-5296
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MR. CARLTON MASON
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Credential |
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Telephone | 970-249-0337
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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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