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General NPI Number Information
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NPI Number | 1083621239
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Entity Type | Individual
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Provider Name | LINDA GILBERT DAVIS MSW, LCSW
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Gender | Female
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Dates
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Enumeration Date | 08/01/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 9085 E MINERAL CIR SUITE 170
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City | CENTENNIAL
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State | CO
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Zip | 80112-3462
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Country | US
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Telephone | 303-480-8864
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Fax | 303-771-4257
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Provider Business Mailing Address
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Address Line | 2753 E LONG PL
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City | CENTENNIAL
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State | CO
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Zip | 80122-3329
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Country | US
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Telephone | 303-480-8864
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Fax | 303-771-4257
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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 | 991949
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License Number State | CO
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