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General NPI Number Information
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NPI Number | 1548815822
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Entity Type | Individual
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Provider Name | CATHRIN MOELLER
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Gender | Female
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Dates
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Enumeration Date | 08/05/2019
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Last Update Date | 08/05/2019
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Provider Practice Location Address
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Address Line | 5410 POWERS CENTER PT STE 210
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City | COLORADO SPRINGS
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State | CO
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Zip | 80920-7148
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Country | US
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Telephone | 719-266-3919
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Fax | 719-203-2014
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Provider Business Mailing Address
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Address Line | 5410 POWERS CENTER PT STE 210
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City | COLORADO SPRINGS
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State | CO
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Zip | 80920-7148
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Country | US
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Telephone | 719-203-2014
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | MFT.0001426
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License Number State | CO
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