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General NPI Number Information
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NPI Number | 1215962741
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Entity Type | Individual
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Provider Name | LYNN M LEVENTHAL LCSW
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Gender | Female
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Dates
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Enumeration Date | 07/12/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 5005 W 81ST PL UNIT 303
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City | WESTMINSTER
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State | CO
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Zip | 80031-4393
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Country | US
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Telephone | 303-430-7021
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Fax | 303-422-9505
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Provider Business Mailing Address
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Address Line | 7369 UPHAM CIR
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City | ARVADA
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State | CO
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Zip | 80003-3029
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Country | US
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Telephone | 303-430-7921
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Fax | 303-422-9505
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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 | 989941
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License Number State | CO
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