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General NPI Number Information
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NPI Number | 1780085696
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Entity Type | Organization
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Legal Business Name | ALTERNTAIVE BEHAVIORS COUNSELING, INC
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Dates
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Enumeration Date | 09/10/2014
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Last Update Date | 09/10/2014
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Provider Practice Location Address
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Address Line | 1949 WADSWORTH BLVD SUITE 206
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City | LAKEWOOD
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State | CO
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Zip | 80214-5288
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Country | US
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Telephone | 303-237-3599
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Fax |
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Provider Business Mailing Address
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Address Line | 1949 WADSWORTH BLVD SUITE 206
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City | LAKEWOOD
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State | CO
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Zip | 80214-5288
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Country | US
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Telephone | 303-237-3599
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Fax |
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Authorized Official
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Title or Position | ASSISTANT
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Name | DAVID SHAPIRO
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Credential |
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Telephone | 970-389-6251
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | 00000178
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License Number State | CO
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