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General NPI Number Information
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NPI Number | 1467841650
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Entity Type | Organization
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Legal Business Name | ENGAGE WITH YOU LLC
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Dates
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Enumeration Date | 01/12/2015
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Last Update Date | 01/12/2015
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Provider Practice Location Address
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Address Line | 1777 S HARRISON ST STE 204
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City | DENVER
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State | CO
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Zip | 80210-3957
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Country | US
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Telephone | 720-355-3929
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Fax | 303-317-3353
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Provider Business Mailing Address
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Address Line | 1777 S HARRISON ST STE 204
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City | DENVER
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State | CO
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Zip | 80210-3957
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Country | US
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Telephone | 720-355-3929
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Fax | 303-317-3353
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Authorized Official
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Title or Position | OWNER
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Name | DR. TAMARAH LOURDES RODRIGUEZ
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Credential | M.D., LPC
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Telephone | 720-355-3929
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number | 0012183
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License Number State | CO
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