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General NPI Number Information
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NPI Number | 1063174050
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Entity Type | Organization
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Legal Business Name | PASSWAY COUNSELING LLC
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Dates
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Enumeration Date | 10/07/2021
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Last Update Date | 10/07/2021
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Provider Practice Location Address
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Address Line | 13770 E RICE PL
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City | AURORA
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State | CO
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Zip | 80015-1057
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Country | US
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Telephone | 303-376-9066
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Fax |
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Provider Business Mailing Address
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Address Line | 12928 E 106TH WAY
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City | DENVER
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State | CO
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Zip | 80022-0627
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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 | PROVIDER
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Name | RICHARD WHITE
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Credential | EDD
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Telephone | 303-376-9066
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number |
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License Number State |
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