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General NPI Number Information
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NPI Number | 1013645787
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Entity Type | Individual
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Provider Name | LAURA MARGARETHE RIVER PHD
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Gender | Female
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Dates
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Enumeration Date | 08/10/2022
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Last Update Date | 09/17/2025
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Provider Practice Location Address
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Address Line | 1500 N GRANT ST STE R
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City | DENVER
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State | CO
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Zip | 80203-1859
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Country | US
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Telephone | 303-578-5550
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Fax |
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Provider Business Mailing Address
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Address Line | 1500 N GRANT ST STE R
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City | DENVER
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State | CO
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Zip | 80203-1859
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Country | US
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Telephone |
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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 | 103TC2200X
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Taxonomy Name | Clinical Child & Adolescent Psychologist
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License Number | PSY.0006527
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License Number State | CO
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