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General NPI Number Information
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NPI Number | 1184485930
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Entity Type | Individual
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Provider Name | KATHLEEN KAY NELSON LSW
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Gender | Female
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Dates
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Enumeration Date | 01/18/2024
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Last Update Date | 10/10/2025
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Provider Practice Location Address
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Address Line | 110 2ND AVE # 202
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City | FRISCO
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State | CO
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Zip | 80443-5005
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Country | US
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Telephone | 303-335-9010
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Fax |
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Provider Business Mailing Address
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Address Line | 110 2ND AVE STE 202
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City | FRISCO
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State | CO
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Zip | 80443-5005
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | CSW.09930909
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License Number State | CO
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