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General NPI Number Information
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NPI Number | 1962868224
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Entity Type | Individual
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Provider Name | KATHRYN ANN HERMAN BCBA
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Gender | Female
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Dates
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Enumeration Date | 01/01/2016
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Last Update Date | 05/09/2017
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Provider Practice Location Address
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Address Line | 400 S COLORADO BLVD STE 400
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City | DENVER
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State | CO
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Zip | 80246-1253
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Country | US
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Telephone | 303-322-9000
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Fax |
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Provider Business Mailing Address
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Address Line | 6343 E GIRARD PL UNIT 372
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City | DENVER
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State | CO
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Zip | 80222-7408
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Country | US
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Telephone | 847-346-7306
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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 | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number | 1-15-21160
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License Number State | IL
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