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General NPI Number Information
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NPI Number | 1417324567
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Entity Type | Individual
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Provider Name | HEATH PAUL LEGGE M.A.
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Gender | Male
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Dates
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Enumeration Date | 08/25/2015
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Last Update Date | 08/25/2015
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Provider Practice Location Address
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Address Line | 6507 S SANTA FE DR
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City | LITTLETON
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State | CO
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Zip | 80120-2910
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Country | US
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Telephone | 303-730-0797
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Fax |
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Provider Business Mailing Address
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Address Line | 5304 S BROADWAY CIR APRT. 3-302
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City | ENGLEWOOD
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State | CO
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Zip | 80113-6769
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Country | US
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Telephone | 915-274-4105
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | LEG-90-7497
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License Number State | ND
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