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General NPI Number Information
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NPI Number | 1275616534
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Entity Type | Organization
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Legal Business Name | STRATEGIES FOR MEANINGFUL LIVING, PC
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Dates
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Enumeration Date | 10/23/2006
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Last Update Date | 08/04/2019
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Provider Practice Location Address
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Address Line | 1600 FILLMORE ST APT 207
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City | DENVER
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State | CO
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Zip | 80206
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Country | US
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Telephone | 612-240-5174
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Fax |
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Provider Business Mailing Address
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Address Line | 1600 FILLMORE ST APT 207
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City | DENVER
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State | CO
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Zip | 80206-1578
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Country | US
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Telephone | 612-240-5174
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. ANDREA SZPORN
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Credential | PH.D., L.P.
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Telephone | 612-240-5174
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | LP4402
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License Number State | MN
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