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General NPI Number Information
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NPI Number | 1932216744
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Entity Type | Individual
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Provider Name | JAMES ANDREW GILLILAND PHD
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Gender | Male
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Dates
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Enumeration Date | 08/25/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 6081 S QUEBEC ST STE. 103
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City | ENGLEWOOD
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State | CO
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Zip | 80111-4536
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Country | US
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Telephone | 303-694-0752
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Fax | 303-694-3290
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Provider Business Mailing Address
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Address Line | 5281 S GENOA WAY
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City | CENTENNIAL
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State | CO
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Zip | 80015-3758
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Country | US
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Telephone | 303-694-0752
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Fax | 303-694-3290
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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 | 1842
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License Number State | CO
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