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General NPI Number Information
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NPI Number | 1568045946
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Entity Type | Individual
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Provider Name | PHILIP PLATT LAC, LPCC
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Gender | Male
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Dates
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Enumeration Date | 05/03/2021
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Last Update Date | 02/22/2024
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Provider Practice Location Address
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Address Line | 9850 FEDERAL BLVD LOT 131
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City | FEDERAL HEIGHTS
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State | CO
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Zip | 80260-5790
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Country | US
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Telephone | 720-245-8991
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Fax |
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Provider Business Mailing Address
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Address Line | 601 N BROADWAY
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City | DENVER
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State | CO
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Zip | 80203-3407
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Country | US
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Telephone | 303-436-6000
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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 | LPCC.0021787
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License Number State | CO
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Taxonomy #2
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | ACD.0002428
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License Number State | CO
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