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General NPI Number Information
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NPI Number | 1447864954
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Entity Type | Organization
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Legal Business Name | INDIGO BILINGUAL COUNSELING
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Dates
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Enumeration Date | 09/02/2020
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Last Update Date | 09/02/2020
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Provider Practice Location Address
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Address Line | 106 N FRENCH STREET
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City | BRECKENRIDGE
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State | CO
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Zip | 80424
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Country | US
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Telephone | 970-389-7475
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 5194
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City | BRECKENRIDGE
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State | CO
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Zip | 80424-5194
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Country | US
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Telephone | 970-389-7475
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Fax |
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Authorized Official
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Title or Position | COUNSELOR PROFESSIONAL
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Name | LESLIE DAY
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Credential |
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Telephone | 970-389-7475
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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 |
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License Number State |
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