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General NPI Number Information
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NPI Number | 1427257203
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Entity Type | Individual
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Provider Name | VICTORIA LYNNE GREY N/A
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Gender | Female
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Dates
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Enumeration Date | 07/12/2007
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Last Update Date | 07/12/2007
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Provider Practice Location Address
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Address Line | 10 FARRAGUT AVE
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City | COLORADO SPRINGS
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State | CO
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Zip | 80909-5626
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Country | US
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Telephone | 719-327-2042
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Fax |
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Provider Business Mailing Address
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Address Line | 508 E HIGH ST
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City | COLORADO SPRINGS
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State | CO
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Zip | 80903-3427
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Country | US
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Telephone | 719-636-2667
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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 | N/A
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License Number State |
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