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General NPI Number Information
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NPI Number | 1386789212
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Entity Type | Individual
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Provider Name | JOHANNA MIEKE MOLNAR SANDIS PH.D.
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Gender | Female
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Dates
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Enumeration Date | 02/20/2007
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Last Update Date | 02/25/2020
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Provider Practice Location Address
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Address Line | 9200 W CROSS DR STE 225
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City | LITTLETON
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State | CO
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Zip | 80123-0700
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Country | US
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Telephone | 720-358-3864
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Fax |
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Provider Business Mailing Address
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Address Line | 9200 W CROSS DR STE 225
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City | LITTLETON
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State | CO
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Zip | 80123-0700
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Country | US
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Telephone | 720-358-3864
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | PSY.0004359
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License Number State | CO
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