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General NPI Number Information
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NPI Number | 1063187888
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Entity Type | Organization
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Legal Business Name | JOSEPH STANLEY CONSULTING, LLC
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Dates
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Enumeration Date | 08/13/2021
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Last Update Date | 08/13/2021
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Provider Practice Location Address
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Address Line | 1679 HARLAN ST APT 8
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City | LAKEWOOD
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State | CO
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Zip | 80214-1548
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Country | US
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Telephone | 720-731-6121
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1011
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City | WHEAT RIDGE
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State | CO
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Zip | 80034-1011
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Country | US
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Telephone | 720-731-6121
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | JOSEPH STANLEY
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Credential | MA, LAC
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Telephone | 720-731-6121
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number |
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License Number State |
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