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General NPI Number Information
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NPI Number | 1821239468
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Entity Type | Individual
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Provider Name | DR. DILMA BASTOS TURNER
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Gender | Female
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Dates
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Enumeration Date | 03/11/2009
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Last Update Date | 03/11/2009
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Provider Practice Location Address
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Address Line | 407 S. TEJON STREET SUITE B
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City | COLORADO SPRINGS
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State | CO
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Zip | 80903
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Country | US
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Telephone | 719-231-4863
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 60116 PO BOX 60116
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City | COLORADO SPRINGS
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State | CO
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Zip | 80960-0116
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Country | US
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Telephone | 719-231-4863
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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 | 103T00000X
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Taxonomy Name | Psychologist
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License Number |
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License Number State |
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