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General NPI Number Information
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NPI Number | 1578139762
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Entity Type | Organization
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Legal Business Name | JOHN O'BRIEN PSYD, LLC
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Dates
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Enumeration Date | 05/28/2021
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Last Update Date | 05/28/2021
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Provider Practice Location Address
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Address Line | 2770 ARAPAHOE RD STE 132-1089
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City | LAFAYETTE
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State | CO
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Zip | 80026-8018
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Country | US
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Telephone | 720-204-8540
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Fax |
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Provider Business Mailing Address
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Address Line | 2770 ARAPAHOE RD STE 132-1089
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City | LAFAYETTE
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State | CO
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Zip | 80026-8018
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Country | US
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Telephone | 720-204-8540
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Fax |
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Authorized Official
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Title or Position | PSYCHOLOGY CANDIDATE
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Name | DR. JOHN O'BRIEN
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Credential | PSYD
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Telephone | 720-204-8540
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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