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General NPI Number Information
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NPI Number | 1538534615
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Entity Type | Individual
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Provider Name | RENA HODGE LMFT
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Gender | Female
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Dates
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Enumeration Date | 12/01/2015
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Last Update Date | 09/15/2024
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Provider Practice Location Address
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Address Line | 8751 E HAMPDEN AVE STE C2
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City | DENVER
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State | CO
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Zip | 80231-4930
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Country | US
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Telephone | 720-900-5109
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 2314
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City | CASTLE ROCK
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State | CO
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Zip | 80104-1228
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Country | US
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Telephone | 720-900-5109
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | MFP.0001040
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License Number State | CO
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Taxonomy #2
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | MFT.0001315
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License Number State | CO
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