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General NPI Number Information
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NPI Number | 1518015239
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Entity Type | Individual
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Provider Name | ELAINE JCD D'AMATO LPC
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Gender | Female
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Dates
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Enumeration Date | 01/08/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 11285 HIGHLINE DR
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City | NORTHGLENN
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State | CO
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Zip | 80233-3076
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Country | US
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Telephone | 303-853-3884
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Fax |
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Provider Business Mailing Address
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Address Line | 3665 S DALLAS ST APT B301
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City | AURORA
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State | CO
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Zip | 80014-7216
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Country | US
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Telephone | 720-240-7433
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 4141
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License Number State | CO
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