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General NPI Number Information
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NPI Number | 1952800716
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Entity Type | Individual
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Provider Name | KAITLIN VADER MA
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Gender | Female
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Dates
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Enumeration Date | 02/07/2018
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Last Update Date | 02/07/2018
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Provider Practice Location Address
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Address Line | 8405 CHURCH RANCH BLVD
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City | WESTMINSTER
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State | CO
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Zip | 80021-3918
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Country | US
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Telephone | 303-438-2251
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Fax |
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Provider Business Mailing Address
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Address Line | 19714 E HARVARD DR
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City | AURORA
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State | CO
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Zip | 80013-9457
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Country | US
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Telephone | 970-275-9668
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | LPCC.0015775
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License Number State | CO
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