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General NPI Number Information
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NPI Number | 1447940580
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Entity Type | Individual
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Provider Name | CAITLIN FITZGERALD
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Gender | Female
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Dates
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Enumeration Date | 05/11/2023
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Last Update Date | 05/11/2023
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Provider Practice Location Address
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Address Line | 1764 PLATTE ST
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City | DENVER
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State | CO
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Zip | 80202-1089
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Country | US
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Telephone | 720-810-2355
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Fax |
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Provider Business Mailing Address
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Address Line | 1197 S BEECH DR APT 1208
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City | LAKEWOOD
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State | CO
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Zip | 80228-3442
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Country | US
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Telephone | 318-393-0118
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 0018497
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License Number State | CO
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