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General NPI Number Information
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NPI Number | 1285265801
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Entity Type | Individual
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Provider Name | KATHRYN MARIE MATHIS LPC, RPT
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Gender | Female
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Dates
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Enumeration Date | 02/02/2020
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Last Update Date | 02/02/2020
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Provider Practice Location Address
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Address Line | 8101 SHAFFER PKWY
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City | LITTLETON
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State | CO
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Zip | 80127-4111
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Country | US
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Telephone | 432-741-0414
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Fax |
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Provider Business Mailing Address
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Address Line | 287 S LAFAYETTE ST
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City | DENVER
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State | CO
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Zip | 80209-2523
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Country | US
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Telephone | 432-741-0414
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number | 0013584
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License Number State | CO
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