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General NPI Number Information
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NPI Number | 1003112178
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Entity Type | Individual
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Provider Name | HOLLY HAMAN-MARCUM MSSW, LCSW
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Gender | Female
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Dates
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Enumeration Date | 02/07/2011
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Last Update Date | 06/10/2015
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Provider Practice Location Address
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Address Line | 1371 1/2 ROSE AVE
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City | BURLINGTON
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State | CO
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Zip | 80807-1601
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Country | US
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Telephone | 720-231-0353
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 726
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City | BURLINGTON
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State | CO
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Zip | 80807-0726
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Country | US
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Telephone | 720-231-0353
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | CSW-992106
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License Number State | CO
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