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General NPI Number Information
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NPI Number | 1720936214
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Entity Type | Individual
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Provider Name | NICOLE ROSEN
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Gender | Female
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Dates
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Enumeration Date | 03/19/2026
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Last Update Date | 03/19/2026
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Provider Practice Location Address
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Address Line | 10450 PARK MEADOWS DR STE 100
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City | LONE TREE
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State | CO
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Zip | 80124-5528
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Country | US
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Telephone | 720-707-6914
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Fax |
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Provider Business Mailing Address
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Address Line | 4188 WINONA CT
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City | DENVER
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State | CO
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Zip | 80212-2257
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Country | US
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Telephone | 314-471-8583
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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 | LPCC.0022344
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License Number State | CO
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