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General NPI Number Information
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NPI Number | 1043444318
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Entity Type | Individual
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Provider Name | DEBRA TASCI PSY.D.
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Gender | Female
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Dates
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Enumeration Date | 05/14/2009
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Last Update Date | 05/14/2009
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Provider Practice Location Address
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Address Line | 3595 S TELLER ST SUITE 310
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City | LAKEWOOD
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State | CO
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Zip | 80235-2014
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Country | US
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Telephone | 303-643-8586
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Fax | 303-985-3133
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Provider Business Mailing Address
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Address Line | 1253 MESA CT
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City | GOLDEN
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State | CO
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Zip | 80403-1393
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Country | US
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Telephone | 303-643-8586
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Fax | 303-985-3133
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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 | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 2468
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License Number State | CO
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