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General NPI Number Information
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NPI Number | 1003554098
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Entity Type | Individual
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Provider Name | LILLIAN CHRISTINE BICKNELL LSW
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Gender | Female
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Dates
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Enumeration Date | 05/20/2022
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Last Update Date | 05/20/2022
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Provider Practice Location Address
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Address Line | 2855 N SPEER BLVD # 80211
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City | DENVER
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State | CO
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Zip | 80211-4239
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Country | US
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Telephone | 720-829-1853
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Fax |
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Provider Business Mailing Address
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Address Line | 3200 W COLFAX AVE APT 273
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City | DENVER
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State | CO
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Zip | 80204-2265
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Country | US
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Telephone | 720-829-7153
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | LSW.0009923054
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License Number State | CO
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