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General NPI Number Information
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NPI Number | 1619120011
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Entity Type | Individual
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Provider Name | JESSICA FISHER M.A., L.P.C., N.C.C.
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Gender | Female
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Dates
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Enumeration Date | 10/29/2008
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Last Update Date | 05/14/2013
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Provider Practice Location Address
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Address Line | 8089 S LINCOLN ST
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City | LITTLETON
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State | CO
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Zip | 80122-2700
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Country | US
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Telephone | 303-523-1871
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Fax |
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Provider Business Mailing Address
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Address Line | 9446 MORNING GLORY LN
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City | HIGHLANDS RANCH
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State | CO
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Zip | 80130-4495
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Country | US
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Telephone | 303-523-1871
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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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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | LPC 0011124
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License Number State | CO
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