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General NPI Number Information
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NPI Number | 1689720534
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Entity Type | Individual
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Provider Name | MERLE J. STEVENS M.A. LPC
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Gender | Female
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Dates
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Enumeration Date | 01/25/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 6081 S QUEBEC ST SUITE 200
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City | CENTENNIAL
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State | CO
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Zip | 80111-4536
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Country | US
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Telephone | 303-721-7330
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Fax | 720-488-6566
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Provider Business Mailing Address
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Address Line | 2992 SHADY HOLW W
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City | BOULDER
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State | CO
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Zip | 80304-2982
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Country | US
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Telephone | 303-449-2927
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Fax | 303-449-5338
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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 | 615
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License Number State | CO
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