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General NPI Number Information
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NPI Number | 1023556115
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Entity Type | Organization
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Legal Business Name | KATHLEEN SALMON, LLC
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Dates
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Enumeration Date | 02/08/2017
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Last Update Date | 02/14/2019
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Provider Practice Location Address
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Address Line | 1001 E 62ND AVE APT 665
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City | DENVER
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State | CO
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Zip | 80216-1140
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Country | US
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Telephone | 908-400-0311
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 20261
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City | BOULDER
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State | CO
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Zip | 80308-3261
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Country | US
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Telephone | 908-400-0311
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Fax |
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Authorized Official
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Title or Position | OWNER/CLINICAL SOCIAL WORKER
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Name | MS. KATHLEEN ANN SALMON
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Credential | LCSW
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Telephone | 908-400-0311
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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.09924561
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License Number State | CO
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