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General NPI Number Information
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NPI Number | 1104189562
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Entity Type | Organization
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Legal Business Name | APPLIED BIBLICAL COUNSELING
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Dates
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Enumeration Date | 06/20/2012
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Last Update Date | 06/20/2012
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Provider Practice Location Address
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Address Line | 1935 DOMINION WAY STE A102
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City | COLORADO SPRINGS
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State | CO
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Zip | 80918-8450
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Country | US
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Telephone | 719-228-6560
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Fax | 562-799-6657
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Provider Business Mailing Address
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Address Line | 5122 KATELLA AVE STE 305
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City | LOS ALAMITOS
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State | CA
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Zip | 90720-2831
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Country | US
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Telephone | 719-228-6560
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Fax | 562-799-6657
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Authorized Official
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Title or Position | DIRECTOR OF OPERATIONS
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Name | MS. ZOILA GUZMAN
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Credential |
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Telephone | 719-228-6560
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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 | 802
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License Number State | CO
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