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General NPI Number Information
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NPI Number | 1962197962
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Entity Type | Individual
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Provider Name | GAYLE ANN COLVIN LPC
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Gender | Female
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Dates
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Enumeration Date | 04/06/2023
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Last Update Date | 01/11/2026
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Provider Practice Location Address
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Address Line | 2620 SHAWNEE DR
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City | CHILLICOTHEE
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State | MO
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Zip | 64601-3547
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Country | US
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Telephone | 166-024-7000
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Fax |
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Provider Business Mailing Address
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Address Line | 1738 WYNKOOP ST STE 303
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City | DENVER
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State | CO
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Zip | 80202-1000
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Country | US
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Telephone | 720-330-3713
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 2002010916
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License Number State | MO
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