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General NPI Number Information
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NPI Number | 1972964625
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Entity Type | Organization
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Legal Business Name | LAURA K. BERMAN
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Dates
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Enumeration Date | 03/09/2016
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Last Update Date | 03/09/2016
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Provider Practice Location Address
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Address Line | 3865 CHERRY CREEK DRIVE NORTH #170
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City | DENVER
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State | CO
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Zip | 80209
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Country | US
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Telephone | 303-875-3486
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Fax |
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Provider Business Mailing Address
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Address Line | 3865 CHERRY CREEK DRIVE NORTH #170
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City | DENVER
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State | CO
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Zip | 80209
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Country | US
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Telephone | 303-875-3486
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Fax |
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Authorized Official
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Title or Position | PSYCHOTHERAPIST
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Name | LAURA BERMAN
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Credential | MA
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Telephone | 303-875-3486
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC1900X
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Taxonomy Name | Counseling Psychologist
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License Number | 0013753
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License Number State | CO
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