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General NPI Number Information
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NPI Number | 1376041699
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Entity Type | Organization
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Legal Business Name | SAKURA ASSESSMENT AND THERAPY, LLC
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Dates
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Enumeration Date | 02/01/2018
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Last Update Date | 05/08/2018
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Provider Practice Location Address
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Address Line | 5388 VALENTIA ST
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City | DENVER
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State | CO
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Zip | 80238-3842
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Country | US
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Telephone | 720-504-7413
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Fax |
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Provider Business Mailing Address
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Address Line | 5388 VALENTIA ST
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City | DENVER
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State | CO
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Zip | 80238-3842
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Country | US
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Telephone | 720-504-7413
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Fax |
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Authorized Official
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Title or Position | OWNER; CLINICAL PSYCHOLOGIST
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Name | DR. AMBER WILLIAMSON
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Credential | PSYD
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Telephone | 720-504-7413
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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 | PSY0004512
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License Number State | CO
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