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General NPI Number Information
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NPI Number | 1346650454
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Entity Type | Organization
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Legal Business Name | MARIBEL HINOJOSA PSYD LLC
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Dates
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Enumeration Date | 04/29/2014
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Last Update Date | 05/12/2014
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Provider Practice Location Address
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Address Line | 7200 E DRY CREEK RD STE G208
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City | CENTENNIAL
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State | CO
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Zip | 80112-2575
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Country | US
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Telephone | 303-669-9229
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Fax |
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Provider Business Mailing Address
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Address Line | 7200 E DRY CREEK RD STE G208
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City | CENTENNIAL
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State | CO
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Zip | 80112-2575
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Country | US
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Telephone | 303-669-9229
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MARIBEL HINOJOSA I
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Credential | PSYCHOLOGIST
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Telephone | 303-669-9229
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC2200X
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Taxonomy Name | Clinical Child & Adolescent Psychologist
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License Number |
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License Number State |
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