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General NPI Number Information
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NPI Number | 1174754535
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Entity Type | Individual
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Provider Name | CHERYL ANN PREVOT M.S.S.W.
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Gender | Female
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Dates
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Enumeration Date | 08/04/2009
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Last Update Date | 08/04/2009
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Provider Practice Location Address
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Address Line | 19673 SOLAR CIR SUITE #202
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City | PARKER
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State | CO
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Zip | 80134-7373
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Country | US
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Telephone | 720-220-6005
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Fax |
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Provider Business Mailing Address
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Address Line | 6004 N BELMONT WAY
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City | PARKER
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State | CO
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Zip | 80134-5502
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Country | US
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Telephone | 303-841-4881
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | CSW 989061
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License Number State | CO
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