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General NPI Number Information
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NPI Number | 1194084277
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Entity Type | Individual
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Provider Name | THOMAS CHARLES HOUSTON D.MIN.
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Gender | Male
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Dates
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Enumeration Date | 05/10/2012
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Last Update Date | 03/18/2015
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Provider Practice Location Address
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Address Line | 1777 S HARRISON ST SUITE 1200
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City | DENVER
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State | CO
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Zip | 80210-3925
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Country | US
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Telephone | 720-254-0951
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Fax |
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Provider Business Mailing Address
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Address Line | 3776 S CHASE ST
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City | DENVER
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State | CO
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Zip | 80235-2954
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Country | US
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Telephone | 720-254-0951
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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 | 101YP1600X
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Taxonomy Name | Pastoral Counselor
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License Number | 0718
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License Number State | CO
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Taxonomy #2
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number | 0558
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License Number State | CO
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