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General NPI Number Information
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NPI Number | 1396028452
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Entity Type | Individual
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Provider Name | LAUREN MICHELLE OFLAHERTY PSY.D.
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Gender | Female
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Dates
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Enumeration Date | 09/26/2011
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Last Update Date | 01/30/2023
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Provider Practice Location Address
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Address Line | 4141 E DICKENSON PL
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City | DENVER
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State | CO
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Zip | 80222-6012
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Country | US
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Telephone | 303-504-6500
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Fax |
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Provider Business Mailing Address
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Address Line | 6601 18TH WAY N
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City | SAINT PETERSBURG
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State | FL
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Zip | 33702-6403
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Country | US
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Telephone | 949-331-2394
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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 | PY10706
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 020994
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License Number State | NY
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