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General NPI Number Information
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NPI Number | 1598649253
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Entity Type | Organization
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Legal Business Name | BOCK PSYCHOLOGICAL SERVICES LLC
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Dates
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Enumeration Date | 08/04/2025
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Last Update Date | 08/04/2025
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Provider Practice Location Address
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Address Line | 4025 AUTOMATION WAY UNIT C4
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City | FORT COLLINS
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State | CO
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Zip | 80525-3447
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Country | US
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Telephone | 970-658-5537
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Fax |
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Provider Business Mailing Address
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Address Line | 4025 AUTOMATION WAY UNIT C4
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City | FORT COLLINS
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State | CO
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Zip | 80525-3447
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Country | US
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Telephone | 970-658-5537
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Fax |
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Authorized Official
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Title or Position | PRACTICE OWNER
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Name | JOSHUA BOCK
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Credential | PSYD
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Telephone | 970-658-5537
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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 |
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License Number State |
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