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General NPI Number Information
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NPI Number | 1457944357
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Entity Type | Organization
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Legal Business Name | MY THERAPY MATTERS LLC
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Dates
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Enumeration Date | 02/11/2021
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Last Update Date | 02/11/2021
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Provider Practice Location Address
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Address Line | 1304 N ACADEMY BLVD
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City | COLORADO SPRINGS
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State | CO
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Zip | 80909-3325
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Country | US
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Telephone | 435-817-0155
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Fax |
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Provider Business Mailing Address
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Address Line | 1094 S GREENWAY DR
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City | PUEBLO WEST
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State | CO
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Zip | 81007-5092
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Country | US
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Telephone | 435-817-0155
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Fax |
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | CLIVE RUSSELL HALLAM
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Credential |
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Telephone | 435-817-0155
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number |
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License Number State |
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