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General NPI Number Information
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NPI Number | 1790517787
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Entity Type | Individual
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Provider Name | LINDSEY WAXMAN PSYD
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Gender | Female
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Dates
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Enumeration Date | 08/17/2024
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Last Update Date | 09/04/2024
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Provider Practice Location Address
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Address Line | 1780 S BELLAIRE ST STE 270
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City | DENVER
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State | CO
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Zip | 80222-4470
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Country | US
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Telephone | 847-507-5274
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Fax |
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Provider Business Mailing Address
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Address Line | 1780 S BELLAIRE ST STE 270
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City | DENVER
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State | CO
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Zip | 80222-4470
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Country | US
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Telephone | 847-507-5274
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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 | PSYC.00015800
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License Number State | CO
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