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General NPI Number Information
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NPI Number | 1114353349
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Entity Type | Individual
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Provider Name | SANDY KAISER MA
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Gender | Female
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Dates
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Enumeration Date | 09/19/2013
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Last Update Date | 09/19/2013
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Provider Practice Location Address
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Address Line | 1950 REDTAIL HAWK DR
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City | ESTES PARK
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State | CO
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Zip | 80517-9780
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Country | US
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Telephone | 970-586-9105
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Fax |
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Provider Business Mailing Address
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Address Line | 125 CRESTRIDGE ST
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City | FORT COLLINS
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State | CO
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Zip | 80525-3934
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Country | US
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Telephone | 970-494-9761
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Fax | 970-300-3120
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number |
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License Number State |
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