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General NPI Number Information
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NPI Number | 1013258656
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Entity Type | Individual
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Provider Name | KANEKA D HALL LCSW, LISW-CP
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Gender | Female
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Dates
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Enumeration Date | 03/06/2013
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Last Update Date | 05/23/2023
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Provider Practice Location Address
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Address Line | 9137 E MINERAL CIR STE 110
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City | CENTENNIAL
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State | CO
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Zip | 80112-3422
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Country | US
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Telephone | 303-953-9405
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Fax | 303-284-9624
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Provider Business Mailing Address
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Address Line | 9137 E MINERAL CIR STE 110
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City | CENTENNIAL
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State | CO
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Zip | 80112-3422
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Country | US
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Telephone | 303-953-9405
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Fax | 303-284-9624
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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 | 11815
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License Number State | SC
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 0904008160
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License Number State | VA
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Taxonomy #3
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | C010378
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License Number State | NC
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Taxonomy #4
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | CSW.09929267
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License Number State | CO
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