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General NPI Number Information
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NPI Number | 1720948375
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Entity Type | Individual
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Provider Name | FABIAN SIGALA OROZCO LSW, ACSW, SWC
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Gender | Male
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Dates
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Enumeration Date | 11/17/2025
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Last Update Date | 11/19/2025
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Provider Practice Location Address
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Address Line | 6710 S US HIGHWAY 85-87
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City | FOUNTAIN
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State | CO
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Zip | 80817-1014
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Country | US
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Telephone | 719-338-3558
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Fax |
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Provider Business Mailing Address
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Address Line | 2810 WITHERS AVE
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City | PUEBLO
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State | CO
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Zip | 81003-1340
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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 |
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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 | LSW.0009925856
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License Number State | CO
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