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General NPI Number Information
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NPI Number | 1629249503
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Entity Type | Individual
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Provider Name | ANGELINA R CORDOVA M.A., CACIII, LMFT
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Gender | Female
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Dates
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Enumeration Date | 03/18/2008
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Last Update Date | 08/23/2017
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Provider Practice Location Address
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Address Line | 6595 S DAYTON ST STE 1200
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City | GREENWOOD VILLAGE
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State | CO
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Zip | 80111-6143
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Country | US
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Telephone | 720-488-0878
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Fax | 844-272-6033
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Provider Business Mailing Address
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Address Line | 6595 S DAYTON ST STE 1200
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City | GREENWOOD VILLAGE
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State | CO
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Zip | 80111-6143
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Country | US
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Telephone | 303-549-3891
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Fax | 844-272-6033
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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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 6435
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License Number State | CO
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Taxonomy #2
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 880
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License Number State | CO
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