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General NPI Number Information
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NPI Number | 1285367334
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Entity Type | Organization
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Legal Business Name | ZAK CONWAY PSYCHOTHERAPY SERVICES, LLC.
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Dates
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Enumeration Date | 07/06/2022
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Last Update Date | 07/06/2022
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Provider Practice Location Address
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Address Line | 810 LINCOLN AVE STE 200
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City | STEAMBOAT SPRINGS
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State | CO
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Zip | 80487-4972
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Country | US
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Telephone | 970-761-9908
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Fax |
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Provider Business Mailing Address
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Address Line | 210 SLEEPY HOLLOW LN
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City | STEAMBOAT SPRINGS
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State | CO
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Zip | 80487-3230
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Country | US
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Telephone | 970-761-9908
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Fax |
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Authorized Official
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Title or Position | THERAPIST
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Name | ZAK CONWAY
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Credential | LPC, LAC
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Telephone | 970-761-9908
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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