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General NPI Number Information
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NPI Number | 1184106692
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Entity Type | Individual
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Provider Name | AUDREY B COLLINS
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Gender | Female
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Dates
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Enumeration Date | 08/30/2018
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Last Update Date | 05/31/2019
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Provider Practice Location Address
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Address Line | 3856 S JERICHO CT
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City | AURORA
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State | CO
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Zip | 80013-3871
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Country | US
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Telephone | 303-946-5221
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Fax | 888-600-9221
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Provider Business Mailing Address
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Address Line | 3856 S JERICHO CT
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City | AURORA
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State | CO
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Zip | 80013-3871
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Country | US
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Telephone | 303-946-5221
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Fax | 888-600-9221
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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 | 171000000X
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Taxonomy Name | Military Health Care Provider
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License Number |
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License Number State | CO
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | NLC.0012885
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License Number State | CO
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