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General NPI Number Information
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NPI Number | 1154581908
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Entity Type | Individual
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Provider Name | JENNIFER A WORCESTER LP
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Gender | Female
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Dates
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Enumeration Date | 06/16/2008
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Last Update Date | 03/25/2025
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Provider Practice Location Address
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Address Line | 19557 E MAINSTREET # 200
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City | PARKER
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State | CO
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Zip | 80138-7420
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Country | US
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Telephone | 303-475-2323
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Fax |
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Provider Business Mailing Address
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Address Line | 19563 E MAINSTREET STE 200
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City | PARKER
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State | CO
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Zip | 80138-7394
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Country | US
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Telephone | 303-475-2323
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | PSY.0005698
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License Number State | CO
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Taxonomy #2
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number | 4172
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License Number State | CO
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