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General NPI Number Information
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NPI Number | 1851022396
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Entity Type | Individual
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Provider Name | JULIA CAWTHRA PHD, LP
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Gender | Female
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Dates
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Enumeration Date | 06/23/2022
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Last Update Date | 06/23/2022
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Provider Practice Location Address
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Address Line | 1 OLYMPIC PLZ
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City | COLORADO SPRINGS
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State | CO
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Zip | 80909-5780
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Country | US
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Telephone | 719-306-8432
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Fax |
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Provider Business Mailing Address
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Address Line | 2575 S SYRACUSE WAY APT H106
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City | DENVER
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State | CO
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Zip | 80231-3839
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Country | US
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Telephone |
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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 | 103TC1900X
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Taxonomy Name | Counseling Psychologist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 103TE1100X
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Taxonomy Name | Exercise & Sports Psychologist
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 5565
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License Number State | CO
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