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General NPI Number Information
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NPI Number | 1801596895
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Entity Type | Individual
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Provider Name | ROBERT DUANE WEINKAUF
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Gender | Male
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Dates
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Enumeration Date | 03/08/2023
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Last Update Date | 03/08/2023
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Provider Practice Location Address
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Address Line | 710 11TH AVE
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City | GREELEY
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State | CO
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Zip | 80631-6405
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Country | US
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Telephone | 970-880-3550
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Fax |
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Provider Business Mailing Address
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Address Line | 10610 STATE HIGHWAY 66
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City | PLATTEVILLE
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State | CO
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Zip | 80651-7907
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Country | US
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Telephone | 303-641-1722
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | NLC0003718
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License Number State | CO
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