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General NPI Number Information
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NPI Number | 1881022341
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Entity Type | Individual
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Provider Name | STEPHANIE LYNN PERCICH MS, CGC
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Gender | Female
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Dates
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Enumeration Date | 10/21/2013
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Last Update Date | 09/14/2015
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Provider Practice Location Address
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Address Line | 8200 E BELLEVIEW AVE STE 200E
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City | GREENWOOD VILLAGE
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State | CO
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Zip | 80111-2857
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Country | US
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Telephone | 720-493-3446
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Fax | 720-874-4405
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Provider Business Mailing Address
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Address Line | 8200 E BELLEVIEW AVE STE 200E
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City | GREENWOOD VILLAGE
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State | CO
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Zip | 80111-2857
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Country | US
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Telephone | 720-493-3446
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Fax | 720-874-4405
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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 | 170300000X
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Taxonomy Name | Genetic Counselor (M.S.)
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License Number | 10
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License Number State | NE
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