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General NPI Number Information
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NPI Number | 1356109417
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Entity Type | Organization
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Legal Business Name | COLORADO THERAPY & ASSESSMENT CENTER
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Dates
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Enumeration Date | 03/12/2024
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Last Update Date | 07/22/2024
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Provider Practice Location Address
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Address Line | 2021 GUADALUPE ST STE 260
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City | AUSTIN
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State | TX
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Zip | 78705-5654
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Country | US
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Telephone | 720-515-4244
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Fax |
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Provider Business Mailing Address
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Address Line | 1777 S BELLAIRE ST STE 390
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City | DENVER
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State | CO
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Zip | 80222-4350
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Country | US
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Telephone | 720-515-4244
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | JANEAN ANDERSON
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Credential |
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Telephone | 720-515-4244
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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 |
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License Number State |
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