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General NPI Number Information
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NPI Number | 1134257090
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Entity Type | Individual
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Provider Name | KRISTEN FLEUR CANTRELL PH.D.
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Gender | Female
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Dates
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Enumeration Date | 03/01/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 9485 W COLFAX AVE
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City | LAKEWOOD
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State | CO
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Zip | 80215-3918
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Country | US
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Telephone | 303-432-5268
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Fax |
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Provider Business Mailing Address
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Address Line | 3736 CLAY ST
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City | DENVER
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State | CO
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Zip | 80211-2834
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Country | US
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Telephone | 303-912-3626
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 4000
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License Number State | CO
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