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General NPI Number Information
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NPI Number | 1386305910
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Entity Type | Individual
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Provider Name | BRADLEY DAVID COLE LPC
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Gender | Male
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Dates
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Enumeration Date | 01/05/2022
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Last Update Date | 07/11/2024
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Provider Practice Location Address
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Address Line | 1661 YATES ST
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City | DENVER
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State | CO
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Zip | 80204-1070
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Country | US
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Telephone | 720-280-8715
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Fax |
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Provider Business Mailing Address
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Address Line | 1661 YATES ST
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City | DENVER
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State | CO
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Zip | 80204-1070
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Country | US
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Telephone | 720-280-8715
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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 | LPC.0020922
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License Number State | CO
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