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General NPI Number Information
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NPI Number | 1225696974
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Entity Type | Organization
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Legal Business Name | ABBIE R CONNER COUNSELING SERVICES
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Dates
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Enumeration Date | 05/29/2019
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Last Update Date | 06/10/2019
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Provider Practice Location Address
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Address Line | 2625 REDWING RD STE 175
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City | FORT COLLINS
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State | CO
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Zip | 80526-6324
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Country | US
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Telephone | 308-882-8945
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Fax |
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Provider Business Mailing Address
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Address Line | 640 SARATOGA WAY
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City | WINDSOR
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State | CO
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Zip | 80550-3198
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | ABBIE RAE CONNER
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Credential | LCSW
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Telephone | 970-460-8019
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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