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General NPI Number Information
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NPI Number | 1811616907
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Entity Type | Organization
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Legal Business Name | ACTIVATION PSYCHOLOGY
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Dates
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Enumeration Date | 08/23/2022
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Last Update Date | 08/23/2022
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Provider Practice Location Address
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Address Line | 2460 W 26TH AVE STE 465C
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City | DENVER
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State | CO
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Zip | 80211-5315
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Country | US
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Telephone | 720-893-1415
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Fax | 720-307-8237
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Provider Business Mailing Address
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Address Line | 2460 W 26TH AVE STE 465C
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City | DENVER
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State | CO
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Zip | 80211-5315
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Country | US
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Telephone | 720-893-1415
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Fax | 720-307-8237
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Authorized Official
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Title or Position | OWNER/PSYCHOLOGIST
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Name | DR. CHRISTINA AEGERTER
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Credential | PSYD
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Telephone | 720-893-1415
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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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