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General NPI Number Information
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NPI Number | 1447894233
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Entity Type | Individual
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Provider Name | CINDY LYNN SOUSER
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Gender | Female
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Dates
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Enumeration Date | 11/05/2019
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Last Update Date | 11/05/2019
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Provider Practice Location Address
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Address Line | 1660 ALBION ST. #700
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City | DENVER
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State | CO
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Zip | 80222-8023
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Country | US
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Telephone | 720-838-7826
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Fax |
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Provider Business Mailing Address
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Address Line | 280 ROSLYN ST APT 501
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City | DENVER
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State | CO
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Zip | 80230-6462
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Country | US
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Telephone | 720-838-7826
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | MFT.0001092
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License Number State | CO
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