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General NPI Number Information
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NPI Number | 1689030850
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Entity Type | Individual
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Provider Name | FREDERICK HOON LPC
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Gender | Male
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Dates
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Enumeration Date | 01/04/2016
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Last Update Date | 01/04/2016
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Provider Practice Location Address
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Address Line | 6757 SIMMS ST
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City | ARVADA
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State | CO
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Zip | 80004-2535
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Country | US
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Telephone | 720-289-5719
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Fax |
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Provider Business Mailing Address
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Address Line | 9023 W 103RD AVE
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City | WESTMINSTER
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State | CO
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Zip | 80021-3865
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Country | US
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Telephone | 303-460-0138
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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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | ACB0007904
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License Number State | CO
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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 | LPC0012216
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License Number State | CO
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