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General NPI Number Information
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NPI Number | 1750688990
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Entity Type | Organization
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Legal Business Name | ROCKY MOUNTAIN PROFESSIONAL COUNSELING, P.C.
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Dates
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Enumeration Date | 02/24/2011
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Last Update Date | 03/01/2011
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Provider Practice Location Address
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Address Line | 445 UNION BLVD STE 238
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City | LAKEWOOD
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State | CO
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Zip | 80228-1241
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Country | US
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Telephone | 303-519-0501
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Fax | 720-509-1609
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Provider Business Mailing Address
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Address Line | PO BOX 281071
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City | LAKEWOOD
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State | CO
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Zip | 80228-1071
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Country | US
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Telephone | 303-519-0501
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Fax | 720-509-1609
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Authorized Official
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Title or Position | PRESIDENT/OWNER
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Name | DR. MATTHEW VER MILLER
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Credential | PSY.D.
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Telephone | 303-519-0501
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 2948
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License Number State | CO
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