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General NPI Number Information
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NPI Number | 1154732006
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Entity Type | Organization
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Legal Business Name | THE AFDA GROUP, INC.
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Dates
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Enumeration Date | 05/14/2014
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Last Update Date | 05/14/2014
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Provider Practice Location Address
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Address Line | 6162 S KEARNEY ST
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City | CENTENNIAL
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State | CO
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Zip | 80111-4235
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Country | US
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Telephone | 303-796-7004
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Fax | 303-796-8777
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Provider Business Mailing Address
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Address Line | 6162 S KEARNEY ST
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City | CENTENNIAL
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State | CO
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Zip | 80111-4235
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Country | US
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Telephone | 303-796-7004
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Fax | 303-796-8777
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Authorized Official
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Title or Position | LICENSED PSYCHOLOGIST
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Name | DR. JAMES ALLEN SHARON
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Credential | ED.D.
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Telephone | 303-796-7004
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 1348
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License Number State | CO
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