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General NPI Number Information
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NPI Number | 1356069629
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Entity Type | Individual
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Provider Name | MICHAEL J TEPP M.A.
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Gender | Male
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Dates
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Enumeration Date | 08/22/2022
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Last Update Date | 08/07/2025
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Provider Practice Location Address
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Address Line | 343 W DRAKE RD STE 240
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City | FORT COLLINS
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State | CO
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Zip | 80526-2880
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Country | US
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Telephone | 970-829-0478
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Fax |
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Provider Business Mailing Address
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Address Line | 820 PONDEROSA DR
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City | FORT COLLINS
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State | CO
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Zip | 80521-3149
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Country | US
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Telephone | 719-439-9869
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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 | 0108829
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License Number State | CO
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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 0021079
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License Number State | CO
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