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General NPI Number Information
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NPI Number | 1114049103
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Entity Type | Individual
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Provider Name | SHAWNA M WIANT LCSW
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Gender | Female
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Dates
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Enumeration Date | 04/03/2007
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Last Update Date | 04/04/2025
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Provider Practice Location Address
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Address Line | 8008 E ARAPAHOE CT STE 100
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City | CENTENNIAL
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State | CO
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Zip | 80112-6839
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Country | US
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Telephone | 720-305-6583
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Fax |
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Provider Business Mailing Address
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Address Line | 9711 MOSS ROSE CIR
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City | HIGHLANDS RANCH
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State | CO
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Zip | 80129-6438
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Country | US
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Telephone | 303-919-4640
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | CSW.09924755
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License Number State | CO
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