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General NPI Number Information
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NPI Number | 1518375336
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Entity Type | Organization
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Legal Business Name | KATE KING ART THERAPY & PSYCHOTHERAPY, LLC
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Dates
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Enumeration Date | 07/24/2014
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Last Update Date | 07/24/2014
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Provider Practice Location Address
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Address Line | 5310 DTC PKWY SUITE G
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City | GREENWOOD VILLAGE
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State | CO
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Zip | 80111-3010
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Country | US
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Telephone | 970-319-9960
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Fax |
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Provider Business Mailing Address
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Address Line | 5310 DTC PKWY SUITE G
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City | GREENWOOD VILLAGE
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State | CO
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Zip | 80111-3010
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | ART PSYCHOTHERAPIST
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Name | MR. KATE KING
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Credential | MA, ATR, LPC
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Telephone | 970-319-9960
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 0011240
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License Number State | CO
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