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General NPI Number Information
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NPI Number | 1710028766
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Entity Type | Individual
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Provider Name | JILL MANNING PH.D., LMFT, CCPS
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Gender | Female
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Dates
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Enumeration Date | 02/11/2007
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Last Update Date | 10/24/2019
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Provider Practice Location Address
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Address Line | 357 MCCASLIN BLVD STE 203
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City | LOUISVILLE
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State | CO
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Zip | 80027-2941
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Country | US
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Telephone | 720-209-9510
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Fax | 720-874-9644
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Provider Business Mailing Address
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Address Line | 357 MCCASLIN BLVD STE 203
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City | LOUISVILLE
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State | CO
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Zip | 80027-2941
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Country | US
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Telephone | 720-209-9510
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Fax | 720-874-9644
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 778
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License Number State | CO
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