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General NPI Number Information
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NPI Number | 1407984073
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Entity Type | Organization
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Legal Business Name | INTEGRATED PSYCHOTHERAPY, P.C.
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Dates
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Enumeration Date | 03/02/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 2204 HOFFMAN DR
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City | LOVELAND
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State | CO
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Zip | 80538-5034
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Country | US
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Telephone | 970-669-6911
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Fax | 970-663-0213
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Provider Business Mailing Address
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Address Line | 2204 HOFFMAN DR
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City | LOVELAND
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State | CO
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Zip | 80538-5034
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Country | US
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Telephone | 970-669-6911
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Fax | 970-663-0213
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. WILLIAM JAMES CROWE
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Credential | LCSW
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Telephone | 970-669-6911
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 989122
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License Number State | CO
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