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General NPI Number Information
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NPI Number | 1699096107
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Entity Type | Organization
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Legal Business Name | HINDS' FEET ADVENTURES
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Dates
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Enumeration Date | 06/18/2010
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Last Update Date | 08/19/2021
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Provider Practice Location Address
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Address Line | 1322 N ACADEMY BLVD STE 109
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City | COLORADO SPRINGS
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State | CO
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Zip | 80909-3316
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Country | US
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Telephone | 719-428-5432
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Fax | 719-428-5381
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Provider Business Mailing Address
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Address Line | 1322 N ACADEMY BLVD STE 109
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City | COLORADO SPRINGS
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State | CO
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Zip | 80909-3316
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Country | US
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Telephone | 719-428-5432
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Fax | 719-428-5381
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR/THERAPIST
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Name | MISS SHERA LYNN SMITH
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Credential | L.P.C., C.A.C.III
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Telephone | 719-428-5432
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 4584
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License Number State | CO
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Taxonomy #3
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 6223
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License Number State | CO
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