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NPI 1811219512

NPI 1811219512 : ANN ELIZABETH FARAGHER LPC, CAC II : ENGLEWOOD, CO

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General NPI Number Information
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    NPI Number           |    1811219512
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    Entity Type          |    Individual 
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    Provider Name        |    ANN ELIZABETH FARAGHER LPC, CAC II
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    02/22/2010
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    Last Update Date     |    06/03/2011
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Provider Practice Location Address
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    Address Line         |    5039 S FEDERAL BLVD SUITE 5
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    City                 |    ENGLEWOOD
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    State                |    CO
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    Zip                  |    80110-6369
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    Country              |    US
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    Telephone            |    720-273-0508
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    5039 S FEDERAL BLVD SUITE 5
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    City                 |    ENGLEWOOD
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    State                |    CO
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    Zip                  |    80110-6369
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    Country              |    US
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    Telephone            |    720-273-0508
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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        |    101YA0400X
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    Taxonomy Name        |    Addiction (Substance Use Disorder) Counselor
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    License Number       |    4189
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    License Number State |    CO
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Taxonomy #2
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    Taxonomy Code        |    101YP2500X
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    Taxonomy Name        |    Professional Counselor
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    License Number       |    1296
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    License Number State |    CO
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