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General NPI Number Information
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NPI Number | 1225743222
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Entity Type | Organization
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Legal Business Name | EMPOWER HOLDINGS
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Dates
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Enumeration Date | 01/16/2023
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Last Update Date | 01/16/2023
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Provider Practice Location Address
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Address Line | 2305 E ARAPAHOE RD STE 240
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City | CENTENNIAL
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State | CO
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Zip | 80122-1565
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Country | US
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Telephone | 773-957-4910
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Fax |
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Provider Business Mailing Address
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Address Line | 9288 E ASPEN HILL PL
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City | LONE TREE
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State | CO
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Zip | 80124-5432
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Country | US
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Telephone | 773-957-4910
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | NICOLE FREDERICKSON
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Credential |
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Telephone | 773-957-4910
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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 |
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License Number State |
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