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General NPI Number Information
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NPI Number | 1518379874
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Entity Type | Individual
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Provider Name | GINA STEWART
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Gender | Female
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Dates
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Enumeration Date | 05/21/2014
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Last Update Date | 06/06/2024
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Provider Practice Location Address
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Address Line | 8199 E 1ST AVE
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City | DENVER
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State | CO
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Zip | 80230-7163
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Country | US
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Telephone | 720-464-5386
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Fax |
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Provider Business Mailing Address
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Address Line | 8199 E 1ST AVE
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City | DENVER
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State | CO
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Zip | 80230-7163
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Country | US
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Telephone | 720-464-5386
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Fax | 303-367-2301
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number | 0174201
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License Number State | NM
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | LPC.0014219
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License Number State | CO
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Taxonomy #3
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number | LPC.0014219
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License Number State | CO
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