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General NPI Number Information
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NPI Number | 1952953077
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Entity Type | Individual
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Provider Name | KIRA GANGSEI COLGAN LMFT
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Gender | Female
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Dates
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Enumeration Date | 07/09/2019
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Last Update Date | 07/09/2019
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Provider Practice Location Address
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Address Line | 660 JULIAN ST
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City | DENVER
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State | CO
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Zip | 80204-3148
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Country | US
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Telephone | 303-964-8456
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Fax |
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Provider Business Mailing Address
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Address Line | 2696 S COLORADO BLVD STE 580
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City | DENVER
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State | CO
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Zip | 80222-5945
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Country | US
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Telephone | 303-639-5240
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Fax | 303-639-5243
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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 | 52831
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | MFT0001227
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License Number State | CO
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