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General NPI Number Information
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NPI Number | 1912231374
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Entity Type | Organization
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Legal Business Name | COLORADO CLINICAL AND FORENSIC PSYCHOLOGY, P.C.
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Dates
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Enumeration Date | 10/01/2009
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Last Update Date | 10/01/2009
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Provider Practice Location Address
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Address Line | 1884 GAYLORD ST
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City | DENVER
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State | CO
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Zip | 80206-1211
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Country | US
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Telephone | 860-810-5817
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Fax |
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Provider Business Mailing Address
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Address Line | 1884 GAYLORD ST
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City | DENVER
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State | CO
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Zip | 80206-1211
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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 | PRESIDENT
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Name | DR. NICOLE S KITEI
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Credential | PH.D.
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Telephone | 860-810-5817
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TF0200X
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Taxonomy Name | Forensic Psychologist
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License Number | 3313
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License Number State | CO
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Taxonomy #2
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 3313
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License Number State | CO
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