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General NPI Number Information
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NPI Number | 1710241104
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Entity Type | Organization
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Legal Business Name | CAROL A. MARFUT PSY. LLC
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Dates
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Enumeration Date | 06/29/2012
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Last Update Date | 10/14/2013
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Provider Practice Location Address
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Address Line | 14304 E EVANS AVE
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City | AURORA
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State | CO
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Zip | 80014-1408
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Country | US
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Telephone | 303-755-1144
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Fax | 303-346-0057
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Provider Business Mailing Address
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Address Line | 14304 E EVANS AVE
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City | AURORA
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State | CO
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Zip | 80014-1408
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Country | US
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Telephone | 303-755-1144
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Fax | 303-346-0057
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Authorized Official
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Title or Position | PROVIDER
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Name | DR. CAROL A MARFUT
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Credential | PSYD
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Telephone | 303-755-1144
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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 | 957
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License Number State | CO
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