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General NPI Number Information
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NPI Number | 1053796029
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Entity Type | Individual
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Provider Name | SHAUNA IRENE FLEGE
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Gender | Female
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Dates
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Enumeration Date | 07/20/2015
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Last Update Date | 09/18/2023
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Provider Practice Location Address
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Address Line | 1440 VINE ST
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City | DENVER
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State | CO
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Zip | 80206-2016
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Country | US
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Telephone | 720-270-9404
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Fax | 877-345-3501
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Provider Business Mailing Address
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Address Line | 1 KALISA WAY STE 101
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City | PARAMUS
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State | NJ
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Zip | 07652-3508
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Country | US
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Telephone | 888-948-6789
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Fax | 877-345-3501
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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 | 1333
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License Number State | CO
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