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General NPI Number Information
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NPI Number | 1033934815
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Entity Type | Individual
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Provider Name | SWATHY SUNDARAM
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Gender | Female
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Dates
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Enumeration Date | 11/18/2024
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Last Update Date | 11/18/2024
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Provider Practice Location Address
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Address Line | 5353 W DARTMOUTH AVE STE 203
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City | DENVER
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State | CO
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Zip | 80227-5517
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Country | US
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Telephone | 303-900-8573
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Fax |
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Provider Business Mailing Address
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Address Line | 27514 E CANYON PL
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City | AURORA
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State | CO
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Zip | 80016-7336
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Country | US
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Telephone | 407-595-6843
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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 | LSW0009924816
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License Number State | CO
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