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General NPI Number Information
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NPI Number | 1770019564
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Entity Type | Individual
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Provider Name | JOLIE ANNE ANDERSON B.S., NLC
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Gender | Female
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Dates
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Enumeration Date | 05/11/2017
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Last Update Date | 05/11/2017
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Provider Practice Location Address
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Address Line | 5400 W JEWELL AVE STE 1C
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City | DENVER
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State | CO
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Zip | 80232-7206
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Country | US
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Telephone | 720-755-0493
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Fax |
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Provider Business Mailing Address
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Address Line | 5400 W JEWELL AVE STE 1C
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City | DENVER
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State | CO
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Zip | 80232-7206
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Country | US
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Telephone | 720-755-0493
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number | 0106708
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License Number State | CO
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