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General NPI Number Information
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NPI Number | 1194651307
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Entity Type | Individual
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Provider Name | LINDSEY TERRY LSW
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Gender | Female
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Dates
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Enumeration Date | 06/23/2026
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Last Update Date | 06/23/2026
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Provider Practice Location Address
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Address Line | 2401 BROADWAY ST # 202
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City | BOULDER
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State | CO
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Zip | 80304-4108
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Country | US
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Telephone | 970-639-1681
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Fax |
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Provider Business Mailing Address
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Address Line | 5169 HOLMES PL
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City | BOULDER
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State | CO
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Zip | 80303-1217
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | 0009927540
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License Number State | CO
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