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General NPI Number Information
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NPI Number | 1245762541
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Entity Type | Individual
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Provider Name | WESTON ZINK LPC LAC
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Gender | Male
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Dates
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Enumeration Date | 03/28/2017
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Last Update Date | 12/22/2018
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Provider Practice Location Address
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Address Line | 9351 GRANT ST STE 480
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City | THORNTON
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State | CO
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Zip | 80229-4375
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Country | US
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Telephone | 720-470-0594
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Fax |
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Provider Business Mailing Address
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Address Line | 11706 CHASE CT
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City | WESTMINSTER
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State | CO
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Zip | 80020
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Country | US
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Telephone | 720-470-0594
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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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | ACD.000926
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License Number State | CO
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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | LPC.0014097
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License Number State | CO
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