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General NPI Number Information
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NPI Number | 1720530835
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Entity Type | Organization
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Legal Business Name | ASCEND COUNSELING SERVICES
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Dates
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Enumeration Date | 10/25/2016
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Last Update Date | 10/25/2016
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Provider Practice Location Address
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Address Line | 12101 E 2ND AVE SUITE 101
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City | AURORA
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State | CO
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Zip | 80011-8327
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Country | US
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Telephone | 303-518-9963
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Fax |
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Provider Business Mailing Address
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Address Line | 6517 W 84TH AVE
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City | ARVADA
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State | CO
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Zip | 80003-1218
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MR. INNAEL TODD MIRANDA
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Credential | MPA, CAC III, CTCTS
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Telephone | 303-518-9963
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | ACC-7097
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License Number State | CO
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