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General NPI Number Information
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NPI Number | 1952807083
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Entity Type | Individual
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Provider Name | COURTNEY GASKINS
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Gender | Female
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Dates
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Enumeration Date | 04/05/2018
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Last Update Date | 09/09/2022
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Provider Practice Location Address
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Address Line | 305 CARPENTER RD
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City | FORT COLLINS
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State | CO
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Zip | 80525-4248
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Country | US
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Telephone | 303-810-2924
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Fax |
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Provider Business Mailing Address
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Address Line | 2580 E 150TH AVE
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City | THORNTON
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State | CO
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Zip | 80602-7361
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Country | US
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Telephone | 303-810-2924
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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 | 0001947
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License Number State | CO
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