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General NPI Number Information
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NPI Number | 1134810674
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Entity Type | Organization
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Legal Business Name | GRAY HORSE COUNSELING LLC
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Dates
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Enumeration Date | 05/16/2023
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Last Update Date | 05/16/2023
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Provider Practice Location Address
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Address Line | 401 LINCOLN AVENUE
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City | STEAMBOAT SPRINGS
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State | CO
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Zip | 80487
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Country | US
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Telephone | 970-329-2461
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Fax |
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Provider Business Mailing Address
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Address Line | 745 LEGION ST
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City | CRAIG
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State | CO
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Zip | 81625-1757
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Country | US
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Telephone | 970-629-2885
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | ELIZABETH SMITH
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Credential |
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Telephone | 336-501-5402
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State |
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