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NPI 1447300991

NPI 1447300991 : LARRY BRENT SNAPP M.A., TH.M., L.P.C. : AURORA, CO

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General NPI Number Information
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    NPI Number           |    1447300991
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    Entity Type          |    Individual 
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    Provider Name        |    LARRY BRENT SNAPP M.A., TH.M., L.P.C.
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    01/10/2007
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    Last Update Date     |    02/26/2016
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Provider Practice Location Address
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    Address Line         |    17690 E ILIFF AVE 
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    City                 |    AURORA
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    State                |    CO
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    Zip                  |    80013-4226
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    Country              |    US
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    Telephone            |    303-332-4384
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    Fax                  |    303-368-0886
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Provider Business Mailing Address
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    Address Line         |    2813 SPRUCE ST 
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    City                 |    DENVER
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    State                |    CO
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    Zip                  |    80238-2426
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    Country              |    US
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    Telephone            |    303-332-4384
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    Fax                  |    303-368-0886
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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        |    101YP1600X
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    Taxonomy Name        |    Pastoral Counselor
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    License Number       |    
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    License Number State |    
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Taxonomy #2
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    Taxonomy Code        |    101YP2500X
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    Taxonomy Name        |    Professional Counselor
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    License Number       |    986
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    License Number State |    CO
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