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General NPI Number Information
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NPI Number | 1003403015
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Entity Type | Individual
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Provider Name | CHRISTINE CAROLINE MERZ PHD
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Gender | Female
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Dates
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Enumeration Date | 12/23/2020
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Last Update Date | 01/30/2023
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Provider Practice Location Address
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Address Line | 8175 LONE OAK CT
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City | LONE TREE
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State | CO
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Zip | 80124-8987
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Country | US
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Telephone | 720-583-4966
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Fax |
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Provider Business Mailing Address
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Address Line | 1312 17TH ST # 1517
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City | DENVER
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State | CO
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Zip | 80202-1508
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Country | US
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Telephone | 720-583-4966
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 0810006389
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | PSY.0005825
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License Number State | CO
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