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General NPI Number Information
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NPI Number | 1972001915
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Entity Type | Organization
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Legal Business Name | MEN WHO CARE, INC
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Dates
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Enumeration Date | 01/24/2018
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Last Update Date | 12/13/2018
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Provider Practice Location Address
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Address Line | 12000 E 47TH AVE STE 112
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City | DENVER
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State | CO
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Zip | 80239-3115
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Country | US
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Telephone | 720-445-6303
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Fax |
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Provider Business Mailing Address
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Address Line | 4860 CHAMBERS RD # 54
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City | DENVER
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State | CO
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Zip | 80239-5152
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Country | US
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Telephone | 720-445-6303
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Fax | 720-452-6206
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | JOMO THOMAS
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Credential | MFT
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Telephone | 313-806-2852
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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 | MFT.0001128
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License Number State | CO
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