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General NPI Number Information
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NPI Number | 1437920972
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Entity Type | Organization
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Legal Business Name | AHN PSYCHOLOGY, LLC
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Dates
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Enumeration Date | 01/12/2024
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Last Update Date | 01/12/2024
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Provider Practice Location Address
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Address Line | 400 S MCCASLIN BLVD STE 105
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City | SUPERIOR
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State | CO
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Zip | 80027-9701
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Country | US
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Telephone | 303-444-5006
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Fax |
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Provider Business Mailing Address
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Address Line | 4555 OTTAWA PL
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City | BOULDER
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State | CO
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Zip | 80303-3724
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Country | US
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Telephone | 720-331-6022
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Fax |
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Authorized Official
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Title or Position | OWNER/PSYCHOLOGIST
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Name | DR. ROIANNE RICHARDSON AHN
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Credential | PHD
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Telephone | 720-331-6022
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number |
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License Number State |
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