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General NPI Number Information
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NPI Number | 1356604227
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Entity Type | Individual
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Provider Name | HEIDI TRUSCOTT MA, LPC
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Gender | Female
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Dates
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Enumeration Date | 06/16/2012
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Last Update Date | 06/16/2012
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Provider Practice Location Address
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Address Line | 720 KIPLING ST STE 17
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City | LAKEWOOD
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State | CO
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Zip | 80215-5866
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Country | US
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Telephone | 303-870-1485
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Fax | 303-763-9534
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Provider Business Mailing Address
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Address Line | 1536 S KLINE CT
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City | LAKEWOOD
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State | CO
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Zip | 80232-6335
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Country | US
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Telephone | 303-870-1485
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Fax | 303-763-9534
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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 | 5986
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License Number State | CO
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