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General NPI Number Information
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NPI Number | 1699513580
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Entity Type | Individual
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Provider Name | SIERRA SMITH
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Gender | Female
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Dates
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Enumeration Date | 07/16/2024
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Last Update Date | 07/16/2024
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Provider Practice Location Address
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Address Line | 1420 W CANAL CT STE 250
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City | LITTLETON
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State | CO
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Zip | 80120-5670
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Country | US
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Telephone | 303-876-7658
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Fax |
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Provider Business Mailing Address
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Address Line | 12645 FISHER ST
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City | ENGLEWOOD
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State | CO
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Zip | 80112-5057
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Country | US
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Telephone | 720-883-1739
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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.0020723
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License Number State | CO
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