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General NPI Number Information
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NPI Number | 1033308143
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Entity Type | Individual
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Provider Name | JENNY BRIDGES LCSW, ACSW, CEAP
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Gender | Female
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Dates
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Enumeration Date | 10/15/2007
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Last Update Date | 06/28/2010
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Provider Practice Location Address
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Address Line | 7400 W 14TH AVE STE 6
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City | LAKEWOOD
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State | CO
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Zip | 80214-4234
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Country | US
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Telephone | 720-350-1109
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Fax | 720-350-1109
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Provider Business Mailing Address
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Address Line | PO BOX 260495
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City | LAKEWOOD
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State | CO
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Zip | 80226-0495
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Country | US
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Telephone | 720-350-1109
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Fax | 720-524-8024
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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 | 989009
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License Number State | CO
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