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General NPI Number Information
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NPI Number | 1811624331
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Entity Type | Organization
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Legal Business Name | REGIS UNIVERSITY OFFICE OF COUNSELING AND PERSONAL DEVELOPMENT
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Dates
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Enumeration Date | 08/04/2022
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Last Update Date | 08/04/2022
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Provider Practice Location Address
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Address Line | 3333 REGIS BLVD # F-12
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City | DENVER
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State | CO
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Zip | 80221-1099
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Country | US
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Telephone | 303-458-3507
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Fax | 303-964-5406
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Provider Business Mailing Address
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Address Line | 3333 REGIS BLVD
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City | DENVER
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State | CO
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Zip | 80221-1099
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Country | US
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Telephone | 303-458-3507
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Fax |
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Authorized Official
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Title or Position | ASSOCIATE DIRECTOR
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Name | ANJANETTE SURMA
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Credential | LPC
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Telephone | 303-458-3507
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number |
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License Number State |
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