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General NPI Number Information
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NPI Number | 1932922648
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Entity Type | Organization
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Legal Business Name | POLARIS PARTNERS COUNSELING AND CONSULTING LLC
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Dates
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Enumeration Date | 11/02/2024
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Last Update Date | 11/02/2024
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Provider Practice Location Address
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Address Line | 90 MADISON ST STE 503
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City | DENVER
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State | CO
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Zip | 80206-5414
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Country | US
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Telephone | 866-285-2929
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Fax | 208-567-5844
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Provider Business Mailing Address
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Address Line | 155 S MADISON ST STE 306
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City | DENVER
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State | CO
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Zip | 80209-3014
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Country | US
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Telephone | 866-285-2929
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Fax | 208-567-5844
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Authorized Official
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Title or Position | OWNER
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Name | DAMOND DOTSON
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Credential | PHD, LMFT
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Telephone | 970-576-1717
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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