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General NPI Number Information
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NPI Number | 1669610390
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Entity Type | Individual
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Provider Name | KRISTEN MAE HULETT CMT, RMT, ACBT
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Gender | Male
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Dates
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Enumeration Date | 02/03/2009
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Last Update Date | 02/03/2009
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Provider Practice Location Address
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Address Line | 11911 N HIGHWAY 83 STE 109
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City | PARKER
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State | CO
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Zip | 80134-9074
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Country | US
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Telephone | 720-937-1915
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Fax | 515-474-0742
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Provider Business Mailing Address
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Address Line | 8420 CANYON RIM TRL UNIT 305
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City | ENGLEWOOD
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State | CO
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Zip | 80112-4724
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Country | US
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Telephone | 720-937-1915
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Fax | 515-474-0742
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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 | 225700000X
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Taxonomy Name | Massage Therapist
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License Number | 599
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License Number State | CO
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