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General NPI Number Information
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NPI Number | 1427381276
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Entity Type | Individual
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Provider Name | JANET E GORDON M.ED. L.P.C.
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Gender | Female
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Dates
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Enumeration Date | 09/11/2009
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Last Update Date | 09/11/2009
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Provider Practice Location Address
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Address Line | 1101 VILLAGE RD UL3C
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City | CARBONDALE
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State | CO
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Zip | 81623-2518
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Country | US
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Telephone | 970-379-4983
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Fax | 970-704-9158
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Provider Business Mailing Address
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Address Line | PO BOX 1765
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City | CARBONDALE
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State | CO
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Zip | 81623-4765
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Country | US
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Telephone | 970-379-4983
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Fax | 970-704-9158
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | LPC-3543
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License Number State | CO
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