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General NPI Number Information
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NPI Number | 1225637572
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Entity Type | Individual
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Provider Name | CAROLYN WALKER MSN, LPC, RN-BC
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Gender | Female
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Dates
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Enumeration Date | 10/19/2020
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Last Update Date | 10/19/2020
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Provider Practice Location Address
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Address Line | 8805 W 14TH AVE STE 200
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City | LAKEWOOD
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State | CO
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Zip | 80215-4848
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Country | US
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Telephone | 855-908-0071
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Fax |
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Provider Business Mailing Address
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Address Line | 4746 RAVEN RUN
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City | BROOMFIELD
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State | CO
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Zip | 80023-4636
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Country | US
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Telephone | 816-679-5008
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number | LPC.0013389
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License Number State | CO
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Taxonomy #2
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number | 2016030203
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License Number State | MO
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Taxonomy #3
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | RN.1619084
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License Number State | CO
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