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General NPI Number Information
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NPI Number | 1194174599
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Entity Type | Organization
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Legal Business Name | CINDI TYLER
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Dates
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Enumeration Date | 06/07/2016
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Last Update Date | 06/07/2016
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Provider Practice Location Address
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Address Line | 5650 GREENWOOD PLAZA BLVD SUITE 250 E
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City | GREENWOOD VILLAGE
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State | CO
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Zip | 80111-2307
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Country | US
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Telephone | 720-261-8135
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Fax |
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Provider Business Mailing Address
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Address Line | 5403 S KILLARNEY ST
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City | CENTENNIAL
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State | CO
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Zip | 80015-3665
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Country | US
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Telephone | 720-261-8135
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Fax |
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Authorized Official
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Title or Position | LCSW
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Name | MS. CINDI C TYLER
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Credential |
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Telephone | 720-261-8135
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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.00992347
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License Number State | CO
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