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General NPI Number Information
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NPI Number | 1265909584
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Entity Type | Individual
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Provider Name | MARISA SCHAFF
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Gender | Female
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Dates
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Enumeration Date | 10/24/2018
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Last Update Date | 10/24/2018
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Provider Practice Location Address
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Address Line | 4335 W 76TH AVE
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City | WESTMINSTER
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State | CO
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Zip | 80030-4604
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Country | US
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Telephone | 303-426-7848
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Fax |
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Provider Business Mailing Address
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Address Line | 4242 DELAWARE ST
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City | DENVER
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State | CO
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Zip | 80216-2618
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Country | US
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Telephone | 303-825-8113
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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 | CP60245601
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License Number State | WA
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