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General NPI Number Information
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NPI Number | 1497597751
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Entity Type | Organization
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Legal Business Name | CURA PSYCHOLOGY
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Dates
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Enumeration Date | 06/08/2024
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Last Update Date | 07/26/2024
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Provider Practice Location Address
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Address Line | 1880 OFFICE CLUB PT STE 141
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City | COLORADO SPRINGS
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State | CO
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Zip | 80920-5013
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Country | US
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Telephone | 719-428-0541
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Fax |
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Provider Business Mailing Address
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Address Line | 1880 OFFICE CLUB PT STE 141
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City | COLORADO SPRINGS
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State | CO
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Zip | 80920-5013
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Country | US
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Telephone | 719-428-0541
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Fax |
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Authorized Official
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Title or Position | PHD
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Name | MY HAO PANTUSO
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Credential |
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Telephone | 719-428-0541
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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 |
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License Number State |
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