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General NPI Number Information
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NPI Number | 1952629438
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Entity Type | Organization
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Legal Business Name | FEENIXWEST COUNSELING, LLC
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Dates
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Enumeration Date | 05/10/2010
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Last Update Date | 05/07/2013
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Provider Practice Location Address
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Address Line | 19 OLD TOWN SQ MAILBOX 238
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City | FORT COLLINS
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State | CO
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Zip | 80524-2471
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Country | US
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Telephone | 970-231-3721
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Fax | 970-224-4335
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Provider Business Mailing Address
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Address Line | 2006 WESTVIEW ROAD
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City | FORT COLLINS
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State | CO
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Zip | 85024-1853
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Country | US
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Telephone | 970-231-3721
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Fax | 970-224-4335
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Authorized Official
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Title or Position | OWNER
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Name | MS. NANCE FERGUSON HOROWITZ
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Credential | LCSW
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Telephone | 970-231-3721
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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 | 865
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License Number State | CO
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