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General NPI Number Information
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NPI Number | 1699923730
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Entity Type | Individual
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Provider Name | JEREMY DION MA, LPC
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Gender | Male
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Dates
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Enumeration Date | 09/03/2008
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Last Update Date | 09/03/2008
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Provider Practice Location Address
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Address Line | 60 MAIN ST. UNIT H
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City | FRISCO
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State | CO
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Zip | 80443
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Country | US
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Telephone | 970-668-3779
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 2587
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City | SILVERTHORNE
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State | CO
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Zip | 80498
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Country | US
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Telephone | 970-668-3779
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 4045
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License Number State | CO
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