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General NPI Number Information
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NPI Number | 1962486068
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Entity Type | Individual
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Provider Name | MICHELLE MARIE TEMPLETON PH.D.
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Gender | Female
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Dates
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Enumeration Date | 12/01/2005
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Last Update Date | 06/04/2020
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Provider Practice Location Address
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Address Line | 12021 PENNSYLVANIA ST STE 202
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City | THORNTON
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State | CO
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Zip | 80241-3152
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Country | US
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Telephone | 720-425-1111
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Fax | 303-450-1574
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Provider Business Mailing Address
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Address Line | PO BOX 1224
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City | EASTLAKE
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State | CO
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Zip | 80614-1224
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Country | US
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Telephone | 720-425-1111
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Fax | 303-648-4114
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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 | 103TC1900X
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Taxonomy Name | Counseling Psychologist
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License Number | 2934
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License Number State | CO
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