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General NPI Number Information
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NPI Number | 1902712607
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Entity Type | Organization
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Legal Business Name | CONUCO REHABILITATION COUNSELING AND CONSULTING, LLC
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Dates
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Enumeration Date | 08/21/2026
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Last Update Date | 08/21/2026
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Provider Practice Location Address
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Address Line | 436 LOIS ST
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City | CLIFTON
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State | COLORADO
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Zip | 81520
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Country | UM
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Telephone |
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Fax |
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Provider Business Mailing Address
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Address Line | 436 LOIS ST
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City | CLIFTON
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State | CO
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Zip | 81520-7514
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Country | US
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Telephone | 347-204-0078
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Fax |
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Authorized Official
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Title or Position | CERTIFIED REHABILITATION COUNSELOR
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Name | ILIANA MARIA MARTINEZ LUGO
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Credential | CRC
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Telephone | 347-204-0078
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225C00000X
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Taxonomy Name | Rehabilitation Counselor
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License Number |
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License Number State |
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