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General NPI Number Information
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NPI Number | 1417433020
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Entity Type | Organization
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Legal Business Name | ASCEND COUNSELING AND NEUROFEEDBACK SERVICES
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Dates
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Enumeration Date | 07/17/2018
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Last Update Date | 07/17/2018
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Provider Practice Location Address
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Address Line | 150 E 29TH ST STE 295
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City | LOVELAND
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State | CO
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Zip | 80538-7827
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Country | US
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Telephone | 970-279-1430
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Fax |
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Provider Business Mailing Address
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Address Line | 3884 LARKSPUR CT
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City | LOVELAND
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State | CO
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Zip | 80538-2081
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MONIQUE MAYFIELD
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Credential |
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Telephone | 970-279-1430
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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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