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General NPI Number Information
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NPI Number | 1871194399
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Entity Type | Individual
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Provider Name | GREGORY SCOTT SEIBERT PHD
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Gender | Male
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Dates
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Enumeration Date | 11/02/2020
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Last Update Date | 12/28/2020
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Provider Practice Location Address
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Address Line | 7535 E HAMPDEN AVE STE 508
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City | DENVER
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State | CO
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Zip | 80231-4843
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Country | US
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Telephone | 720-621-7908
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Fax |
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Provider Business Mailing Address
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Address Line | 2002 BATTLECREEK DR APT 8201
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City | FORT COLLINS
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State | CO
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Zip | 80528-6256
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Country | US
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Telephone | 720-235-8119
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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 | MFT.0001847
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License Number State | CO
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