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General NPI Number Information
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NPI Number | 1407555089
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Entity Type | Individual
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Provider Name | TYLER WHITE LPCC
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Gender | Male
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Dates
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Enumeration Date | 03/02/2023
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Last Update Date | 03/02/2023
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Provider Practice Location Address
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Address Line | 6901 S PIERCE ST STE 235
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City | LITTLETON
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State | CO
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Zip | 80128-7206
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Country | US
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Telephone | 720-441-3201
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Fax |
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Provider Business Mailing Address
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Address Line | 870 S COLORADO BLVD # 1172
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City | GLENDALE
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State | CO
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Zip | 80246-2080
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Country | US
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Telephone | 720-441-3201
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | LPCC.0020038
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License Number State | CO
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