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General NPI Number Information
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NPI Number | 1710210331
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Entity Type | Individual
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Provider Name | KAMILA MARIA CASS PH.D.
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Gender | Female
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Dates
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Enumeration Date | 09/15/2009
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Last Update Date | 05/17/2024
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Provider Practice Location Address
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Address Line | 777 BANNOCK ST
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City | DENVER
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State | CO
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Zip | 80204-4597
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Country | US
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Telephone | 303-602-0340
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Fax |
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Provider Business Mailing Address
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Address Line | 4416 MAROON CIR
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City | BROOMFIELD
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State | CO
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Zip | 80023-4093
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Country | US
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Telephone | 720-260-8464
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Fax |
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | PSY0003645
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License Number State | CO
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Taxonomy #2
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 1207
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License Number State | NM
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Taxonomy #3
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 3645
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License Number State | CO
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