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General NPI Number Information
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NPI Number | 1770175523
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Entity Type | Organization
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Legal Business Name | KIND MINDED PSYCH, PLLC
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Dates
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Enumeration Date | 02/03/2021
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Last Update Date | 04/15/2021
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Provider Practice Location Address
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Address Line | 1805 S BELLAIRE ST STE 585
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City | DENVER
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State | CO
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Zip | 80222-4383
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Country | US
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Telephone | 720-442-0725
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Fax |
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Provider Business Mailing Address
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Address Line | 1805 S BELLAIRE ST STE 585
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City | DENVER
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State | CO
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Zip | 80222-4383
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Country | US
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Telephone | 720-442-0725
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Fax |
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Authorized Official
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Title or Position | CO-OWNER
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Name | CARA VACCARELLO
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Credential |
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Telephone | 720-442-0725
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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 |
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License Number State |
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