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General NPI Number Information
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NPI Number | 1144018318
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Entity Type | Individual
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Provider Name | MEGAN BLASZAK MSW, SWC
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Gender | Female
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Dates
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Enumeration Date | 04/28/2025
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Last Update Date | 04/28/2025
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Provider Practice Location Address
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Address Line | 915 SCHOOL ST
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City | GLENWOOD SPRINGS
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State | CO
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Zip | 81601-3325
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Country | US
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Telephone | 970-384-5450
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1115
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City | BASALT
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State | CO
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Zip | 81621-1115
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Country | US
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Telephone | 970-924-0703
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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 | 1041S0200X
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Taxonomy Name | School Social Worker
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License Number | SWC.0000002046
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License Number State | CO
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