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General NPI Number Information
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NPI Number | 1730565730
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Entity Type | Individual
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Provider Name | EMILY WATSON LADIGUE PSYD
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Gender | Female
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Dates
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Enumeration Date | 08/03/2015
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Last Update Date | 02/08/2022
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Provider Practice Location Address
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Address Line | 2305 E ARAPAHOE RD STE 250
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City | CENTENNIAL
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State | CO
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Zip | 80122-1548
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Country | US
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Telephone | 720-277-9186
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Fax | 720-844-3314
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Provider Business Mailing Address
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Address Line | 2305 E ARAPAHOE RD STE 250
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City | CENTENNIAL
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State | CO
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Zip | 80122-1548
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Country | US
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Telephone | 720-277-9186
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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 | 103G00000X
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Taxonomy Name | Clinical Neuropsychologist
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License Number | PSY.0005418
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License Number State | CO
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