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General NPI Number Information
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NPI Number | 1962525386
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Entity Type | Individual
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Provider Name | MONTFORT O HASZ PSYD
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Gender | Male
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Dates
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Enumeration Date | 04/09/2007
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Last Update Date | 01/28/2025
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Provider Practice Location Address
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Address Line | 8301 E PRENTICE AVE STE 105
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City | GREENWOOD VILLAGE
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State | CO
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Zip | 80111-2903
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Country | US
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Telephone | 720-489-8555
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Fax | 720-489-8304
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Provider Business Mailing Address
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Address Line | 8301 E PRENTICE AVE STE 300
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City | GREENWOOD VILLAGE
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State | CO
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Zip | 80111-2906
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Country | US
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Telephone | 720-489-8555
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Fax | 720-489-8304
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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 | 1818
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License Number State | CO
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