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General NPI Number Information
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NPI Number | 1629346671
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Entity Type | Individual
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Provider Name | KATHLEEN RUTH LORCH MS
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Gender | Female
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Dates
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Enumeration Date | 12/06/2011
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Last Update Date | 03/20/2020
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Provider Practice Location Address
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Address Line | 619 E MAIN ST
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City | FRISCO
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State | CO
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Zip | 80443
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Country | US
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Telephone | 970-389-2051
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 8974
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City | BRECKENRIDGE
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State | CO
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Zip | 80424-9029
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Country | US
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Telephone | 970-398-2051
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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 | LPC.0011815
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License Number State | CO
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