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General NPI Number Information
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NPI Number | 1215077318
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Entity Type | Individual
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Provider Name | RANDOLPH STANKO M.A., LMFT
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Gender | Male
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Dates
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Enumeration Date | 02/07/2007
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Last Update Date | 01/18/2026
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Provider Practice Location Address
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Address Line | 680 SECOND STREET
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City | OURAY
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State | CO
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Zip | 81427-0698
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Country | US
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Telephone | 970-325-7392
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Fax | 970-325-7392
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Provider Business Mailing Address
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Address Line | PO BOX 268 680 SECOND STREET
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City | OURAY
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State | CO
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Zip | 81427-0268
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Country | US
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Telephone | 970-325-7380
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Fax | 970-325-7392
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | MFT 0193
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License Number State | CO
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Taxonomy #2
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | MFT 23216
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License Number State | CA
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