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General NPI Number Information
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NPI Number | 1396048922
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Entity Type | Individual
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Provider Name | RICHARD ALLEN HIPP
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Gender | Male
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Dates
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Enumeration Date | 12/21/2010
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Last Update Date | 01/19/2021
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Provider Practice Location Address
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Address Line | 1024 S LEMAY AVE
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City | FORT COLLINS
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State | CO
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Zip | 80524-3929
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Country | US
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Telephone | 704-958-0209
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Fax | 970-495-7686
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Provider Business Mailing Address
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Address Line | 1024 S LEMAY AVE
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City | FORT COLLINS
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State | CO
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Zip | 80524-3929
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Country | US
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Telephone | 704-958-0209
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Fax | 970-495-7686
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 171W00000X
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Taxonomy Name | Contractor
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License Number | NONE
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License Number State | HI
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Taxonomy #3
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | LPC.0012991
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License Number State | CO
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