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General NPI Number Information
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NPI Number | 1386851756
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Entity Type | Individual
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Provider Name | JANELLE ELIZABETH WOMACK LPC
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Gender | Female
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Dates
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Enumeration Date | 05/16/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 2103 S WADSWORTH BLVD
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City | LAKEWOOD
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State | CO
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Zip | 80227-2641
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Country | US
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Telephone | 303-808-5492
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Fax | 303-914-8542
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Provider Business Mailing Address
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Address Line | 11255 W JEWELL DR
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City | LAKEWOOD
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State | CO
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Zip | 80227-1923
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Country | US
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Telephone | 303-914-0915
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Fax | 303-914-8542
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 4587
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License Number State | CO
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