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General NPI Number Information
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NPI Number | 1548812142
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Entity Type | Individual
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Provider Name | JENNIFER LIN MEYER M.A.
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Gender | Female
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Dates
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Enumeration Date | 07/12/2019
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Last Update Date | 07/12/2019
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Provider Practice Location Address
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Address Line | 4025 AUTOMATION WAY UNIT D3
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City | FORT COLLINS
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State | CO
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Zip | 80525-3448
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Country | US
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Telephone | 970-689-2247
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Fax |
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Provider Business Mailing Address
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Address Line | 3645 MAIN ST
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City | TIMNATH
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State | CO
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Zip | 80547-2282
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Country | US
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Telephone | 970-689-2247
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number | LPC-13013
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License Number State | CO
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