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General NPI Number Information
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NPI Number | 1811290570
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Entity Type | Individual
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Provider Name | MONICA PAIGE BUETTEL PH.D.
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Gender | Female
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Dates
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Enumeration Date | 12/17/2010
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Last Update Date | 02/17/2016
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Provider Practice Location Address
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Address Line | 324 E RAILROAD AVE SUITE #500
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City | FORT MORGAN
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State | CO
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Zip | 80701-3145
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Country | US
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Telephone | 970-396-9523
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Fax | 970-367-1924
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Provider Business Mailing Address
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Address Line | 29511 3RD ST PO BOX 741
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City | SNYDER
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State | CO
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Zip | 80750-8005
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Country | US
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Telephone | 970-396-9523
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Fax | 970-367-1924
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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 | 3531
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License Number State | CO
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