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General NPI Number Information
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NPI Number | 1144992702
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Entity Type | Organization
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Legal Business Name | ATLAS PSYCHOLOGY
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Dates
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Enumeration Date | 10/01/2021
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Last Update Date | 03/14/2022
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Provider Practice Location Address
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Address Line | 2500 30TH ST STE 206
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City | BOULDER
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State | CO
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Zip | 80301-1258
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Country | US
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Telephone | 310-945-8133
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Fax |
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Provider Business Mailing Address
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Address Line | 2500 30TH ST STE 206
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City | BOULDER
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State | CO
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Zip | 80301-1258
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Country | US
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Telephone | 310-945-8133
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Fax |
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Authorized Official
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Title or Position | CO FOUNDER
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Name | ADAM ONEIL
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Credential | PHD
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Telephone | 310-945-8133
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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