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General NPI Number Information
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NPI Number | 1548236136
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Entity Type | Individual
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Provider Name | NORM DEWHURST EDD
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Gender | Male
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Dates
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Enumeration Date | 02/24/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 2055 S ONEIDA #274
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City | DENVER
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State | CO
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Zip | 80224
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Country | US
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Telephone | 303-759-8441
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Fax | 303-759-3340
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Provider Business Mailing Address
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Address Line | 2185 BROADWAY
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City | DENVER
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State | CO
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Zip | 80205-2534
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Country | US
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Telephone | 303-296-2244
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Fax | 303-296-2244
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 777
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License Number State | CO
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