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General NPI Number Information
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NPI Number | 1336020049
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Entity Type | Individual
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Provider Name | JACOB LUJAN
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Gender | Male
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Dates
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Enumeration Date | 09/09/2025
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Last Update Date | 09/09/2025
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Provider Practice Location Address
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Address Line | 5353 W DARTMOUTH AVE
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City | LAKEWOOD
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State | CO
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Zip | 80227-5515
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Country | US
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Telephone | 720-319-7233
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Fax |
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Provider Business Mailing Address
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Address Line | 1500 N GRANT ST STE C
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City | DENVER
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State | CO
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Zip | 80203-1859
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Country | US
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Telephone | 720-319-7233
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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 | LPCC.0022960
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License Number State | CO
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