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NPI 1861629412

NPI 1861629412 : VALERIE MARIE CARR M.S. : LAKEWOOD, CO

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General NPI Number Information
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    NPI Number           |    1861629412
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    Entity Type          |    Individual 
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    Provider Name        |    VALERIE MARIE CARR M.S.
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    06/22/2009
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    Last Update Date     |    04/18/2018
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Provider Practice Location Address
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    Address Line         |    11177 WEST 8TH AVENUE 
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    City                 |    LAKEWOOD
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    State                |    CO
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    Zip                  |    80215-5520
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    Country              |    US
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    Telephone            |    303-462-6509
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    11177 WEST 8TH AVENUE 
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    City                 |    LAKEWOOD
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    State                |    CO
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    Zip                  |    80215-5520
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    Country              |    US
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    Telephone            |    303-462-6509
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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        |    235Z00000X
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    Taxonomy Name        |    Speech-Language Pathologist
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    License Number       |    1079
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    License Number State |    ND
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Taxonomy #2
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    Taxonomy Code        |    235Z00000X
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    Taxonomy Name        |    Speech-Language Pathologist
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    License Number       |    SLP.0001610
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    License Number State |    CO
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