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General NPI Number Information
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NPI Number | 1427973056
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Entity Type | Individual
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Provider Name | MARIA THERESA NIEVES
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Gender | Female
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Dates
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Enumeration Date | 08/12/2026
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Last Update Date | 08/12/2026
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Provider Practice Location Address
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Address Line | 2116 HOLLOW BROOK DR STE 100
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City | COLORADO SPRINGS
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State | CO
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Zip | 80918-1443
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Country | US
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Telephone | 719-249-0984
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Fax |
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Provider Business Mailing Address
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Address Line | 10356 CASTOR DR
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City | COLORADO SPRINGS
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State | CO
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Zip | 80925-1432
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Country | US
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Telephone | 720-413-0451
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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 | 0009927849
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License Number State | CO
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