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General NPI Number Information
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NPI Number | 1265948095
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Entity Type | Organization
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Legal Business Name | ALPHA OMEGA COUNSELING, LLC
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Dates
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Enumeration Date | 12/15/2017
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Last Update Date | 12/15/2017
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Provider Practice Location Address
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Address Line | 2101 S BLACKHAWK ST STE 240
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City | AURORA
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State | CO
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Zip | 80014-1475
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Country | US
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Telephone | 720-583-3928
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Fax |
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Provider Business Mailing Address
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Address Line | 2101 S BLACKHAWK ST STE 240
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City | AURORA
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State | CO
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Zip | 80014-1475
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Country | US
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Telephone | 720-583-3928
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Fax |
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Authorized Official
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Title or Position | OWNER/FOUNDER
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Name | GABRIELLE MAY-SHINAGLE
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Credential | LMFT, LAC
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Telephone | 720-583-3928
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | MFT.0001458
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License Number State | CO
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