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General NPI Number Information
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NPI Number | 1295394799
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Entity Type | Organization
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Legal Business Name | HALEY FORD COUNSELING
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Dates
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Enumeration Date | 06/07/2019
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Last Update Date | 09/29/2022
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Provider Practice Location Address
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Address Line | 503 REMINGTON ST
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City | FORT COLLINS
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State | CO
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Zip | 80524-3074
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Country | US
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Telephone | 978-709-1309
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1205
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City | FORT COLLINS
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State | CO
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Zip | 80522-1205
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Country | US
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Telephone | 970-718-5305
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Fax |
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Authorized Official
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Title or Position | PSYCHOLOGIST
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Name | DR. HALEY FORD
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Credential | PHD
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Telephone | 970-718-5305
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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 |
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License Number State |
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