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General NPI Number Information
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NPI Number | 1952710022
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Entity Type | Individual
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Provider Name | RACHEL SILLS KIRKMAN PSYD
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Gender | Female
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Dates
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Enumeration Date | 08/04/2014
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Last Update Date | 06/05/2021
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Provider Practice Location Address
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Address Line | 11700 W 2ND PL STE 225
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City | LAKEWOOD
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State | CO
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Zip | 80228-1707
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Country | US
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Telephone | 303-661-4100
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Fax |
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Provider Business Mailing Address
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Address Line | 1312 17TH ST # 1022
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City | DENVER
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State | CO
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Zip | 80202-1508
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | PSY30835
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License Number State | CA
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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 | PSY.0005301
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License Number State | CO
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