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General NPI Number Information
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NPI Number | 1609463108
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Entity Type | Individual
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Provider Name | MICHELLE GASKINS LPCC
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Gender | Female
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Dates
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Enumeration Date | 12/30/2020
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Last Update Date | 12/30/2020
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Provider Practice Location Address
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Address Line | 6343 W 120TH AVE STE 105
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City | BROOMFIELD
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State | CO
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Zip | 80020-3701
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Country | US
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Telephone | 720-340-3365
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Fax |
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Provider Business Mailing Address
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Address Line | 956 BEAN CT
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City | ERIE
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State | CO
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Zip | 80516-7239
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Country | US
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Telephone | 979-595-6210
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State |
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