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General NPI Number Information
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NPI Number | 1093118226
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Entity Type | Organization
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Legal Business Name | CAPITOL HILL COUNSELING CENTER LLC
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Dates
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Enumeration Date | 10/02/2014
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Last Update Date | 10/02/2014
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Provider Practice Location Address
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Address Line | 852 BROADWAY STE 200
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City | DENVER
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State | CO
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Zip | 80203-2700
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Country | US
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Telephone | 720-775-7077
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Fax |
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Provider Business Mailing Address
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Address Line | 852 BROADWAY STE 200
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City | DENVER
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State | CO
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Zip | 80203-2700
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Country | US
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Telephone | 720-775-7077
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Fax |
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Authorized Official
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Title or Position | CLINICAL DIRECTOR
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Name | SAMUEL KOHLENBERG
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Credential | LPC
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Telephone | 720-775-7077
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | LPC.0012136
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License Number State | CO
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