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General NPI Number Information
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NPI Number | 1306442355
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Entity Type | Individual
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Provider Name | ASH HANSON
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Gender | Female
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Dates
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Enumeration Date | 12/07/2020
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Last Update Date | 12/07/2020
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Provider Practice Location Address
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Address Line | 3035 W 25TH AVE
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City | DENVER
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State | CO
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Zip | 80211-4635
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Country | US
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Telephone | 720-295-3354
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Fax |
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Provider Business Mailing Address
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Address Line | 1086 10TH ST
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City | BOULDER
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State | CO
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Zip | 80302-7261
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Country | US
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Telephone | 608-225-0019
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 14536
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License Number State | CO
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