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General NPI Number Information
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NPI Number | 1619197670
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Entity Type | Individual
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Provider Name | TODD WILLIAM HARRISON LPC
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Gender | Male
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Dates
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Enumeration Date | 05/01/2007
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Last Update Date | 06/20/2016
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Provider Practice Location Address
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Address Line | 8232 E 29TH PL
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City | DENVER
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State | CO
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Zip | 80238-2723
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Country | US
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Telephone | 720-384-3498
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Fax | 303-321-1792
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Provider Business Mailing Address
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Address Line | 390 S POTOMAC WAY SUITE C
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City | AURORA
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State | CO
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Zip | 80012-1375
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Country | US
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Telephone | 720-384-3498
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Fax | 303-321-1792
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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 | 4569
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License Number State | CO
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