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General NPI Number Information
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NPI Number | 1083439368
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Entity Type | Individual
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Provider Name | ANTONIA RAMIREZ MA. MFTC, LPCC
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Gender | Female
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Dates
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Enumeration Date | 11/20/2024
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Last Update Date | 11/20/2024
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Provider Practice Location Address
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Address Line | 9351 GRANT ST STE 480
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City | THORNTON
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State | CO
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Zip | 80229-4375
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Country | US
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Telephone | 720-577-5662
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Fax |
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Provider Business Mailing Address
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Address Line | 7944 WYANDOT ST
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City | DENVER
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State | CO
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Zip | 80221-3866
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Country | US
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Telephone | 720-275-7449
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | MFTC.0014638
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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 | LPCC.0021946
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License Number State | CO
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