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General NPI Number Information
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NPI Number | 1649887035
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Entity Type | Organization
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Legal Business Name | NEUROPSYCHOLOGICAL ASSESSMENTS OF COLORADO, PROFESSIONAL LLC
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Dates
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Enumeration Date | 09/29/2020
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Last Update Date | 04/25/2022
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Provider Practice Location Address
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Address Line | 7105 S TITUS ST
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City | AURORA
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State | CO
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Zip | 80016-7560
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Country | US
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Telephone | 561-213-6769
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Fax |
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Provider Business Mailing Address
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Address Line | 7105 S TITUS ST
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City | AURORA
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State | CO
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Zip | 80016-7560
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | JAMIE POLLOCK
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Credential | PSYD
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Telephone | 561-213-6769
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103G00000X
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Taxonomy Name | Clinical Neuropsychologist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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