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General NPI Number Information
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NPI Number | 1063801645
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Entity Type | Individual
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Provider Name | CHRISTOPHER FRIERMOOD M.A.
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Gender | Male
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Dates
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Enumeration Date | 01/20/2015
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Last Update Date | 01/20/2015
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Provider Practice Location Address
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Address Line | 1226 E 14TH AVE
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City | DENVER
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State | CO
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Zip | 80218-2102
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Country | US
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Telephone | 303-717-0825
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Fax |
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Provider Business Mailing Address
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Address Line | 1226 E 14TH AVE
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City | DENVER
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State | CO
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Zip | 80218-2102
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Country | US
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Telephone | 303-717-0825
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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 | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number | 99-299-1126
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License Number State | CO
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