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General NPI Number Information
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NPI Number | 1407682529
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Entity Type | Individual
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Provider Name | REED ALAN RONAN MAC, LPC
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Gender | Male
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Dates
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Enumeration Date | 09/13/2024
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Last Update Date | 09/13/2024
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Provider Practice Location Address
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Address Line | 2222 E TENNESSEE AVE UNIT A
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City | DENVER
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State | CO
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Zip | 80209-4637
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Country | US
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Telephone | 303-578-8499
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Fax |
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Provider Business Mailing Address
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Address Line | 1991 S POPLAR CT
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City | DENVER
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State | CO
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Zip | 80224-2220
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Country | US
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Telephone | 303-330-3739
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number | LPC.0020550
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License Number State | CO
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