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General NPI Number Information
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NPI Number | 1801956982
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Entity Type | Individual
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Provider Name | MARIA KATHERINE MCGRANE MD
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Gender | Female
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Dates
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Enumeration Date | 12/11/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 610 GARRISON ST SUITE U
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City | LAKEWOOD
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State | CO
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Zip | 80215-5898
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Country | US
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Telephone | 303-898-2336
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 16339
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City | GOLDEN
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State | CO
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Zip | 80402-6006
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Country | US
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Telephone | 303-898-2336
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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 | 2084P0802X
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Taxonomy Name | Addiction Psychiatry Physician
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License Number | 34220
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License Number State | CO
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