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General NPI Number Information
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NPI Number | 1750402392
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Entity Type | Individual
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Provider Name | JAY LITTLEFIELD LPC
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Gender | Male
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Dates
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Enumeration Date | 04/02/2007
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Last Update Date | 07/09/2007
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Provider Practice Location Address
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Address Line | 17282 COUNTY ROAD 32
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City | STERLING
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State | CO
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Zip | 80751-9420
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Country | US
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Telephone | 970-522-5775
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Fax | 970-522-5983
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Provider Business Mailing Address
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Address Line | 117 JUNIPER DR
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City | STERLING
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State | CO
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Zip | 80751-8635
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Country | US
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Telephone | 970-522-8419
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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 | 1014
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License Number State | CO
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