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NPI Code Detail

MEDICARE: CAELI M DUERSON

MEDICARE: CAELI M DUERSON
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1235Z00000XSpeech-Language Pathologist0002497CO
2235Z00000XSpeech-Language Pathologist3525-154WI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1659657211
Entity Type Code : Individual
Provider Name (Legal Business Name) : CAELI M DUERSON
Provider Business Mailing Address
First Line : 7000 BROADWAY STE 208
Second Line :
City : DENVER
State : CO
Zip : 80221-2909
Country : US
Telephone Number : 303-327-9738
Fax Number :
Provider Business Practice Location Address
First Line : 7000 BROADWAY STE 208
Second Line :
City : DENVER
State : CO
Zip : 80221-2909
Country : US
Telephone Number : 303-327-9738
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/27/2011
Last Update Date : 05/28/2021

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Directions to “ CAELI M DUERSON ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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