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General NPI Number Information
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NPI Number | 1598061699
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Entity Type | Organization
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Legal Business Name | GF INSTITUTE, PLLC
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Dates
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Enumeration Date | 02/07/2011
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Last Update Date | 11/04/2019
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Provider Practice Location Address
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Address Line | 4801 RIVERBEND RD STE 100
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City | BOULDER
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State | CO
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Zip | 80301-2626
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Country | US
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Telephone | 303-440-2456
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Fax | 303-440-2427
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Provider Business Mailing Address
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Address Line | 4801 RIVERBEND RD STE 100
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City | BOULDER
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State | CO
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Zip | 80301-2626
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Country | US
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Telephone | 303-440-2456
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Fax | 303-440-2427
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Authorized Official
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Title or Position | PRESIDENT
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Name | DANIEL FISHER
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Credential | M.D.
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Telephone | 303-440-2456
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 35433
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License Number State | CO
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