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General NPI Number Information
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NPI Number | 1942901376
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Entity Type | Individual
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Provider Name | ANICA ZVONEK LACD, LPC
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Gender | Female
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Dates
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Enumeration Date | 03/13/2023
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Last Update Date | 08/13/2024
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Provider Practice Location Address
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Address Line | 4565 KENDALL PKWY
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City | LOVELAND
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State | CO
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Zip | 80538-9268
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Country | US
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Telephone | 970-410-8228
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Fax |
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Provider Business Mailing Address
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Address Line | 3515 E OVERLAND RD
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City | MERIDIAN
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State | ID
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Zip | 83642-6757
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Country | US
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Telephone | 208-605-7070
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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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | ACD.0002128
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License Number State | CO
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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | LPC0020784
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License Number State | CO
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