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General NPI Number Information
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NPI Number | 1639232598
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Entity Type | Individual
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Provider Name | CAROL ANN BARTON-GODEC PSYCHIATRIC CNS
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Gender | Female
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Dates
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Enumeration Date | 12/19/2006
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Last Update Date | 07/09/2007
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Provider Practice Location Address
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Address Line | 6465 GREENWOOD PLAZA BLVD SUITE 300, CO030-1000
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City | CENTENNIAL
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State | CO
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Zip | 80111-4905
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Country | US
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Telephone | 888-795-7975
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Fax | 303-267-3179
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Provider Business Mailing Address
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Address Line | 5606 DUSTY CHAPS DR
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City | COLORADO SPRINGS
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State | CO
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Zip | 80922-4142
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Country | US
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Telephone | 719-550-9202
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Fax | 719-550-8933
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 364SP0809X
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Taxonomy Name | Adult Psychiatric/Mental Health Clinical Nurse Specialist
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License Number | 75151
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License Number State | CO
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