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General NPI Number Information
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NPI Number | 1932592128
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Entity Type | Individual
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Provider Name | NILA MARIE ANDERSON LMFT
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Gender | Female
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Dates
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Enumeration Date | 03/11/2015
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Last Update Date | 07/25/2019
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Provider Practice Location Address
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Address Line | 267 6TH ST
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City | MEEKER
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State | CO
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Zip | 81641-0000
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Country | US
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Telephone | 970-878-5112
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Fax | 970-878-4315
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Provider Business Mailing Address
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Address Line | 715 HORIZON DR STE 225
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City | GRAND JUNCTION
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State | CO
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Zip | 81506-8743
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Country | US
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Telephone |
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | MFT.0001529
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License Number State | CO
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