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General NPI Number Information
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NPI Number | 1194377010
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Entity Type | Individual
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Provider Name | KANDACE ANDORKA
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Gender | Female
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Dates
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Enumeration Date | 07/11/2019
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Last Update Date | 05/14/2025
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Provider Practice Location Address
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Address Line | 3401 QUEBEC ST
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City | DENVER
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State | CO
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Zip | 80207-2322
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Country | US
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Telephone | 720-730-2523
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Fax | 303-484-5374
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Provider Business Mailing Address
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Address Line | 3108 N YORK ST
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City | DENVER
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State | CO
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Zip | 80205-4167
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Country | US
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Telephone |
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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 | 2084P0804X
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Taxonomy Name | Child & Adolescent Psychiatry Physician
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License Number | PA.0005832
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License Number State | CO
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Taxonomy #2
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Taxonomy Code | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number |
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License Number State |
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