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General NPI Number Information
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NPI Number | 1598039190
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Entity Type | Organization
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Legal Business Name | INTERACTIVE BRAIN ANALYSIS
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Dates
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Enumeration Date | 02/28/2012
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Last Update Date | 02/28/2012
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Provider Practice Location Address
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Address Line | 4885 RIVERBEND RD SUITE D300
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City | BOULDER
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State | CO
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Zip | 80301-2617
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Country | US
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Telephone | 303-447-8443
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Fax |
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Provider Business Mailing Address
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Address Line | 4885 RIVERBEND RD SUITE D300
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City | BOULDER
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State | CO
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Zip | 80301-2617
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Country | US
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Telephone | 303-447-8443
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Fax |
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Authorized Official
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Title or Position | PRESDENT
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Name | DEBORA JOY ELLIOTT
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Credential |
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Telephone | 303-447-8443
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 3408
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License Number State | CO
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