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General NPI Number Information
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NPI Number | 1205593597
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Entity Type | Individual
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Provider Name | JENNIFER ALM CAS
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Gender | Female
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Dates
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Enumeration Date | 11/21/2021
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Last Update Date | 11/21/2021
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Provider Practice Location Address
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Address Line | 6762 W 19TH PL APT 108
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City | LAKEWOOD
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State | CO
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Zip | 80214-1472
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Country | US
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Telephone | 303-960-6597
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Fax |
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Provider Business Mailing Address
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Address Line | 1990 DEPEW ST # 140933
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City | LAKEWOOD
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State | CO
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Zip | 80214-2906
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Country | US
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Telephone | 303-960-6597
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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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | ACB0008595
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License Number State | CO
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