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General NPI Number Information
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NPI Number | 1518282524
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Entity Type | Organization
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Legal Business Name | MICHAEL J MONROE P.C.
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Dates
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Enumeration Date | 04/01/2010
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Last Update Date | 04/01/2010
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Provider Practice Location Address
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Address Line | 1115 GRANT ST STE 307
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City | DENVER
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State | CO
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Zip | 80203-2351
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Country | US
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Telephone | 303-437-6043
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Fax |
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Provider Business Mailing Address
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Address Line | 1115 GRANT ST STE 307
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City | DENVER
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State | CO
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Zip | 80203-2351
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Country | US
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Telephone | 303-437-6043
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. MICHAEL J MONROE
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Credential | PSYD
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Telephone | 303-437-6043
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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 | 2724
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License Number State | CO
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