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General NPI Number Information
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NPI Number | 1679037501
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Entity Type | Individual
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Provider Name | DAVID ANDREW ROTHMAN
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Gender | Male
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Dates
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Enumeration Date | 01/24/2019
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Last Update Date | 11/25/2025
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Provider Practice Location Address
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Address Line | 357 MCCASLIN BLVD STE 200
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City | LOUISVILLE
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State | CO
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Zip | 80027-2932
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Country | US
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Telephone | 720-541-0510
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Fax |
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Provider Business Mailing Address
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Address Line | 507 SIERRA AVE
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City | LONGMONT
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State | CO
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Zip | 80501-8924
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Country | US
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Telephone | 323-707-2366
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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 | LPC.0023119
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License Number State | CO
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