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General NPI Number Information
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NPI Number | 1114443017
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Entity Type | Individual
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Provider Name | REBECCA HOOPER-ESQUIBEL
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Gender | Female
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Dates
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Enumeration Date | 08/22/2017
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Last Update Date | 02/15/2021
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Provider Practice Location Address
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Address Line | 729 E RAILROAD AVE
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City | FORT MORGAN
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State | CO
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Zip | 80701-3340
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Country | US
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Telephone | 303-697-2583
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Fax |
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Provider Business Mailing Address
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Address Line | 211 W MAIN ST
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City | STERLING
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State | CO
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Zip | 80751-3168
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Country | US
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Telephone | 970-522-4549
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Fax | 970-522-6898
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | MFT.0001902
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License Number State | CO
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