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NPI 1023395217

NPI 1023395217 : MS. CAROL CRESCENTE : LITTLETON, CO

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General NPI Number Information
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    NPI Number           |    1023395217
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    Entity Type          |    Individual 
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    Provider Name        |    MS. CAROL CRESCENTE
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    11/16/2011
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    Last Update Date     |    11/16/2011
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Provider Practice Location Address
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    Address Line         |    5524 S. PRINCE STREET 
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    City                 |    LITTLETON
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    State                |    CO
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    Zip                  |    80120
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    Country              |    US
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    Telephone            |    303-761-1991
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    5625 S SYCAMORE ST 209
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    City                 |    LITTLETON
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    State                |    CO
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    Zip                  |    80120-1169
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    Country              |    US
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    Telephone            |    303-955-6568
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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        |    1041S0200X
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    Taxonomy Name        |    School Social Worker
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    License Number       |    0379451
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    License Number State |    CO
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