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General NPI Number Information
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NPI Number | 1588484711
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Entity Type | Individual
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Provider Name | THOMAS VALAND LSW
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Gender | Male
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Dates
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Enumeration Date | 10/14/2024
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Last Update Date | 10/14/2024
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Provider Practice Location Address
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Address Line | 810 LINCOLN AVE STE 220
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City | STEAMBOAT SPRINGS
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State | CO
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Zip | 80487-4972
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Country | US
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Telephone | 970-879-7708
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 770579
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City | STEAMBOAT SPRINGS
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State | CO
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Zip | 80477-0579
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Country | US
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Telephone | 720-400-2466
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | LSW.0009925333
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License Number State | CO
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