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General NPI Number Information
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NPI Number | 1588061022
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Entity Type | Individual
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Provider Name | JEREMY SMITH LPC
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Gender | Male
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Dates
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Enumeration Date | 11/27/2014
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Last Update Date | 12/16/2025
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Provider Practice Location Address
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Address Line | 6121 S SPOTSWOOD ST
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City | LITTLETON
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State | CO
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Zip | 80120-2528
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Country | US
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Telephone | 502-619-9587
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Fax |
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Provider Business Mailing Address
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Address Line | 1351 NEWTOWN PIKE BLDG 5
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City | LEXINGTON
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State | KY
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Zip | 40511-1282
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Country | US
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Telephone | 859-233-0444
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Fax | 859-977-6346
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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 | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 1329
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License Number State | KY
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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.0022649
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License Number State | CO
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