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General NPI Number Information
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NPI Number | 1124907704
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Entity Type | Individual
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Provider Name | LISA MARIE POWELL MA CCC-SLP
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Gender | Female
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Dates
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Enumeration Date | 08/28/2025
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Last Update Date | 08/28/2025
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Provider Practice Location Address
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Address Line | 7808 CHERRY CK S DR # 3-300
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City | DENVER
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State | CO
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Zip | 80231-3218
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Country | US
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Telephone | 720-863-8920
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Fax |
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Provider Business Mailing Address
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Address Line | 7895 S DAYTON ST UNIT 104
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City | GREENWOOD VILLAGE
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State | CO
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Zip | 80112-4967
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Country | US
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Telephone |
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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 | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | .0005670
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License Number State | CO
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