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NPI 1922351444

NPI 1922351444 : JANICE STEINBACH, LLC : BROOMFIELD, CO

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General NPI Number Information
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    NPI Number           |    1922351444
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    Entity Type          |    Organization 
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    Legal Business Name  |    JANICE STEINBACH, LLC 
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Dates
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    Enumeration Date     |    10/22/2012
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    Last Update Date     |    10/22/2012
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Provider Practice Location Address
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    Address Line         |    710 BURBANK ST 
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    City                 |    BROOMFIELD
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    State                |    CO
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    Zip                  |    80020-1658
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    Country              |    US
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    Telephone            |    303-521-7235
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    1500 ABILENE DR 
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    City                 |    BROOMFIELD
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    State                |    CO
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    Zip                  |    80020-1148
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    Country              |    US
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    Telephone            |    720-887-2832
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    Fax                  |    
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Authorized Official
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    Title or Position    |    SOLE PROPRIETOR
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    Name                 |     JANICE  STEINBACH 
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    Credential           |    MS, LPC
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    Telephone            |    303-521-7235
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    101YP2500X
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    Taxonomy Name        |    Professional Counselor
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    License Number       |    3378
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    License Number State |    CO
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