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General NPI Number Information
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NPI Number | 1831405562
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Entity Type | Individual
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Provider Name | ELIZABETH DIANNE AUBERT LPC
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Gender | Female
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Dates
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Enumeration Date | 08/18/2010
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Last Update Date | 06/08/2023
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Provider Practice Location Address
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Address Line | 2350 G RD STE 2
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City | GRAND JUNCTION
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State | CO
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Zip | 81505-2302
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Country | US
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Telephone | 970-270-1720
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Fax | 855-248-6187
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Provider Business Mailing Address
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Address Line | 2674 CAMBRIDGE RD
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City | GRAND JUNCTION
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State | CO
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Zip | 81506-1868
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Country | US
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Telephone | 970-270-1720
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Fax | 855-248-6187
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | LPC0013745
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License Number State | CO
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