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General NPI Number Information
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NPI Number | 1104140656
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Entity Type | Individual
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Provider Name | MONICA MASSARO GARCIA PSY.D.
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Gender | Female
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Dates
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Enumeration Date | 03/25/2010
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Last Update Date | 08/09/2021
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Provider Practice Location Address
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Address Line | 1221 E ELIZABETH ST STE 3
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City | FORT COLLINS
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State | CO
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Zip | 80524-4066
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Country | US
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Telephone | 970-829-8619
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Fax |
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Provider Business Mailing Address
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Address Line | 1221 E ELIZABETH ST STE 3
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City | FORT COLLINS
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State | CO
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Zip | 80524-4066
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Country | US
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Telephone | 925-337-0415
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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 | 103T00000X
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Taxonomy Name | Psychologist
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License Number | PSY.0004741
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License Number State | CO
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Taxonomy #2
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 26441
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License Number State | CA
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