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General NPI Number Information
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NPI Number | 1245568161
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Entity Type | Organization
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Legal Business Name | ELIZABETH M. HARTMAN, LPC, LLC
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Dates
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Enumeration Date | 12/04/2009
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Last Update Date | 12/04/2009
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Provider Practice Location Address
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Address Line | 120 THIRD AVE.
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City | FRISCO
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State | CO
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Zip | 80443
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Country | US
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Telephone | 970-668-3387
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Fax | 970-668-3389
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Provider Business Mailing Address
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Address Line | PO BOX 1847
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City | BRECKENRIDGE
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State | CO
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Zip | 80424-1847
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Country | US
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Telephone | 970-668-3387
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Fax | 970-668-3389
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Authorized Official
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Title or Position | OWNER
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Name | MRS. ELIZABETH MARIE HARTMAN
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Credential | LPC
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Telephone | 970-668-3387
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 3172
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License Number State | CO
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