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General NPI Number Information
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NPI Number | 1205020575
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Entity Type | Individual
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Provider Name | PATRICIA LORRAINE TERRIL-MEINEKE LPC, CAC III
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Gender | Female
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Dates
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Enumeration Date | 08/30/2007
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Last Update Date | 08/30/2007
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Provider Practice Location Address
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Address Line | 5738 OLDE WADSWORTH BLVD
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City | ARVADA
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State | CO
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Zip | 80002-2535
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Country | US
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Telephone | 303-358-7116
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Fax |
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Provider Business Mailing Address
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Address Line | 7546 W 83RD WAY
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City | ARVADA
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State | CO
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Zip | 80003-1631
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Country | US
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Telephone | 303-358-7116
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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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 741
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License Number State | CO
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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 933
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License Number State | CO
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