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General NPI Number Information
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NPI Number | 1780063735
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Entity Type | Individual
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Provider Name | AMBER NOEL PITTS MA
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Gender | Female
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Dates
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Enumeration Date | 05/22/2015
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Last Update Date | 04/01/2025
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Provider Practice Location Address
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Address Line | 115 N 5TH ST STE 340
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City | GRAND JCT
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State | CO
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Zip | 81501-2676
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Country | US
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Telephone | 970-639-1354
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Fax |
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Provider Business Mailing Address
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Address Line | 205 W OTTLEY AVE
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City | FRUITA
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State | CO
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Zip | 81521-2117
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Country | US
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Telephone | 970-639-1354
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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 | LPC.0013540
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License Number State | CO
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