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General NPI Number Information
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NPI Number | 1598573107
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Entity Type | Individual
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Provider Name | ANJANETTE VANCE
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Gender | Female
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Dates
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Enumeration Date | 12/28/2024
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Last Update Date | 12/28/2024
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Provider Practice Location Address
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Address Line | 1150 N 25TH ST STE B
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City | GRAND JUNCTION
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State | CO
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Zip | 81501-6561
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Country | US
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Telephone | 970-773-7256
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Fax |
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Provider Business Mailing Address
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Address Line | 2068 BASELINE DR
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City | GRAND JUNCTION
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State | CO
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Zip | 81507-9671
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Country | US
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Telephone | 970-433-3286
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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 |
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License Number State |
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