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General NPI Number Information
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NPI Number | 1093915159
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Entity Type | Organization
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Legal Business Name | PROFESSIONAL REFERRAL AND COUNSELLING SERVICE, INC.
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Dates
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Enumeration Date | 07/18/2007
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Last Update Date | 07/18/2007
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Provider Practice Location Address
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Address Line | 950 E HARVARD AVE SUITE 200
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City | DENVER
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State | CO
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Zip | 80210-7009
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Country | US
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Telephone | 303-733-2688
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Fax |
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Provider Business Mailing Address
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Address Line | 420 S MARION PKWY #1502
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City | DENVER
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State | CO
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Zip | 80209-2542
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Country | US
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Telephone | 303-733-2688
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Fax |
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Authorized Official
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Title or Position | CLINICAL NURSE SPECIALIST
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Name | MS. MARY SUE STUART
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Credential | RN, CNS
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Telephone | 303-733-2688
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 45866
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License Number State | CO
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