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General NPI Number Information
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NPI Number | 1902119266
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Entity Type | Individual
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Provider Name | MICHELLE PAYNE L.P.C., C.A.C. I
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Gender | Female
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Dates
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Enumeration Date | 07/15/2010
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Last Update Date | 09/15/2025
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Provider Practice Location Address
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Address Line | 1800 S. LITTLETON BLVD.
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City | LITTLETON
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State | CO
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Zip | 80120
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Country | US
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Telephone | 303-886-4454
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Fax | 303-794-0408
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Provider Business Mailing Address
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Address Line | 13586 WAMBLEE TRL
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City | CONIFER
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State | CO
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Zip | 80433-5327
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Country | US
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Telephone | 303-886-4454
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | LPC.0012887
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License Number State | CO
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