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General NPI Number Information
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NPI Number | 1578724845
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Entity Type | Organization
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Legal Business Name | DANIEL GOLIN PHD LLC
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Dates
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Enumeration Date | 06/19/2008
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Last Update Date | 06/19/2008
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Provider Practice Location Address
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Address Line | 1548 G ST SUITE 2C
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City | SALIDA
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State | CO
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Zip | 81201-2645
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Country | US
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Telephone | 719-207-0260
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Fax |
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Provider Business Mailing Address
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Address Line | 1548 G ST SUITE 2C
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City | SALIDA
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State | CO
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Zip | 81201-2645
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Country | US
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Telephone | 719-207-0260
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Fax |
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Authorized Official
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Title or Position | LICENSCED PSYCHOLOGIST
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Name | DR. DANIEL GOLIN
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Credential | PHD
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Telephone | 719-207-0260
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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 | 2179
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License Number State | CO
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