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General NPI Number Information
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NPI Number | 1255789897
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Entity Type | Individual
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Provider Name | JAY THOMAS SLOVICK R.P.
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Gender | Male
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Dates
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Enumeration Date | 05/24/2016
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Last Update Date | 07/17/2016
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Provider Practice Location Address
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Address Line | 9200 W. CROSS DRIVE SUITE 225
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City | LITTLETON
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State | CO
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Zip | 80123-0700
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Country | US
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Telephone | 720-933-1958
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Fax | 720-862-2086
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Provider Business Mailing Address
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Address Line | 9200 W. CROSS DRIVE SUITE 225
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City | LITTLETON
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State | CO
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Zip | 80123-0700
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Country | US
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Telephone | 720-933-1958
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Fax | 720-862-2086
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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 | 376K00000X
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Taxonomy Name | Nurse's Aide
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License Number | NA.00742550
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License Number State | CO
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | NLC.0106360
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License Number State | CO
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Taxonomy #3
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Taxonomy Code | 103TC1900X
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Taxonomy Name | Counseling Psychologist
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License Number | NLC.0106360
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License Number State | CO
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