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NPI 1669568960

NPI 1669568960 : DAVID CANTER HOPKINS PH.D. : COLORADO SPRINGS, CO

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General NPI Number Information
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    NPI Number           |    1669568960
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    Entity Type          |    Individual 
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    Provider Name        |    DAVID CANTER HOPKINS PH.D.
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    10/05/2006
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    Last Update Date     |    10/11/2007
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Provider Practice Location Address
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    Address Line         |    916 N WEBER ST 
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    City                 |    COLORADO SPRINGS
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    State                |    CO
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    Zip                  |    80903-2921
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    Country              |    US
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    Telephone            |    719-314-7773
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    Fax                  |    719-636-8989
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Provider Business Mailing Address
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    Address Line         |    1372 LINDENWOOD GRV 
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    City                 |    COLORADO SPRINGS
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    State                |    CO
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    Zip                  |    80907-7605
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    Country              |    US
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    Telephone            |    719-314-7773
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    Fax                  |    719-636-8989
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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        |    103TR0400X
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    Taxonomy Name        |    Rehabilitation Psychologist
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    License Number       |    CO2290
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    License Number State |    CO
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Taxonomy #2
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    Taxonomy Code        |    103G00000X
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    Taxonomy Name        |    Clinical Neuropsychologist
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    License Number       |    CO2290
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    License Number State |    CO
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