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General NPI Number Information
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NPI Number | 1184898579
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Entity Type | Individual
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Provider Name | CHARLES GILBERT ALLEN PH.D.
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Gender | Male
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Dates
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Enumeration Date | 04/16/2008
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Last Update Date | 04/16/2008
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Provider Practice Location Address
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Address Line | 6081 S QUEBEC ST STE 203
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City | ENGLEWOOD
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State | CO
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Zip | 80111-4538
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Country | US
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Telephone | 303-898-7001
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Fax | 309-218-2598
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Provider Business Mailing Address
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Address Line | 6081 S QUEBEC ST STE 203
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City | ENGLEWOOD
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State | CO
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Zip | 80111-4538
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Country | US
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Telephone | 303-898-7001
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Fax | 309-218-2598
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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 | 1372
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License Number State | CO
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