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General NPI Number Information
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NPI Number | 1114079548
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Entity Type | Organization
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Legal Business Name | ASPEN CENTER FOR MARRIAGE & THE FAMILY, LLC
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Dates
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Enumeration Date | 01/17/2007
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Last Update Date | 08/29/2008
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Provider Practice Location Address
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Address Line | 11863 SPRINGS RD STE 11B
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City | CONIFER
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State | CO
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Zip | 80433-7265
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Country | US
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Telephone | 303-816-0294
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Fax |
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Provider Business Mailing Address
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Address Line | 11863 SPRINGS RD STE 11B
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City | CONIFER
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State | CO
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Zip | 80433-7265
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Country | US
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Telephone | 303-816-0294
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Fax |
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Authorized Official
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Title or Position | COOWNER
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Name | MARY AYERS
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Credential | PHD
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Telephone | 303-816-0294
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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 |
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License Number State |
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