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General NPI Number Information
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NPI Number | 1790252179
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Entity Type | Organization
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Legal Business Name | LET'S EXPLORE PSYCHOLOGICAL & COUNSELING SERVICES
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Dates
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Enumeration Date | 10/24/2018
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Last Update Date | 11/28/2018
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Provider Practice Location Address
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Address Line | 300 BOARDWALK DR UNIT 5A
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City | FORT COLLINS
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State | CO
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Zip | 80525-3093
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Country | US
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Telephone | 301-642-3029
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Fax |
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Provider Business Mailing Address
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Address Line | 300 BOARDWALK DR UNIT 5A
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City | FORT COLLINS
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State | CO
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Zip | 80525-3093
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Country | US
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Telephone | 301-642-3029
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Fax | 970-223-2324
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Authorized Official
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Title or Position | LICENSED CLINICAL PSYCHOLOGIST
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Name | DR. ALLISON SIAN MARGULIES
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Credential | PHD
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Telephone | 301-642-3029
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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 |
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License Number State |
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