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General NPI Number Information
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NPI Number | 1912062787
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Entity Type | Individual
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Provider Name | JUDITH LIBBY-LAUWEREINS MS, LMFT
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Gender | Female
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Dates
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Enumeration Date | 12/22/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 740 BURBANK ST
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City | BROOMFIELD
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State | CO
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Zip | 80020
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Country | US
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Telephone | 303-438-0768
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Fax | 303-438-0503
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Provider Business Mailing Address
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Address Line | 3816 W 103RD. AVE
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City | WESTMINSTER
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State | CO
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Zip | 80020
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Country | US
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Telephone | 303-465-9465
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Fax | 303-438-0768
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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 | 371
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License Number State | CO
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