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General NPI Number Information
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NPI Number | 1174250179
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Entity Type | Individual
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Provider Name | BROOKE ZALIS LPCC
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Gender | Female
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Dates
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Enumeration Date | 08/01/2022
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Last Update Date | 08/01/2022
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Provider Practice Location Address
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Address Line | 12211 W ALAMEDA PKWY STE 106
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City | LAKEWOOD
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State | CO
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Zip | 80228-2867
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Country | US
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Telephone | 913-802-2277
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Fax |
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Provider Business Mailing Address
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Address Line | 1312 17TH ST UNIT 2128
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City | DENVER
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State | CO
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Zip | 80202-1508
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Country | US
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Telephone | 913-802-2277
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Fax |
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | LPCC.0018143
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License Number State | CO
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