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NPI 1235628199

NPI 1235628199 : ADAM FYLER MT-BC, LPCC : FAIRPLAY, CO

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General NPI Number Information
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    NPI Number           |    1235628199
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    Entity Type          |    Individual 
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    Provider Name        |    ADAM FYLER MT-BC, LPCC
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    05/07/2018
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    Last Update Date     |    04/02/2024
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Provider Practice Location Address
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    Address Line         |    548 FRONT ST 
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    City                 |    FAIRPLAY
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    State                |    CO
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    Zip                  |    80440-5001
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    Country              |    US
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    Telephone            |    785-865-6555
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    Fax                  |    844-265-8622
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Provider Business Mailing Address
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    Address Line         |    1330 S BRYANT ST 
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    City                 |    DENVER
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    State                |    CO
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    Zip                  |    80219-4220
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    Country              |    US
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    Telephone            |    785-865-6555
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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        |    101YM0800X
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    Taxonomy Name        |    Mental Health Counselor
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    License Number       |    0015836
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    License Number State |    CO
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Taxonomy #2
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    Taxonomy Code        |    225A00000X
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    Taxonomy Name        |    Music Therapist
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    License Number       |    13551
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    License Number State |    CO
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Taxonomy #3
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    Taxonomy Code        |    101YP2500X
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    Taxonomy Name        |    Professional Counselor
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    License Number       |    
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    License Number State |    
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