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General NPI Number Information
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NPI Number | 1720528490
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Entity Type | Individual
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Provider Name | LORI A. HUETT PSY.D.
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Gender | Female
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Dates
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Enumeration Date | 02/28/2017
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Last Update Date | 10/05/2017
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Provider Practice Location Address
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Address Line | 1210 FOURIER DR STE 100
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City | MADISON
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State | WI
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Zip | 53717-1969
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Country | US
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Telephone | 608-662-9327
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Fax | 608-662-9041
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Provider Business Mailing Address
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Address Line | 950 S CHERRY ST SUITE 424
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City | DENVER
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State | CO
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Zip | 80246-2699
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Country | US
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Telephone | 720-333-4733
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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 | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 4570
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License Number State | CO
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