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General NPI Number Information
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NPI Number | 1225864929
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Entity Type | Organization
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Legal Business Name | CATHOLIC CHARITIES AND COMMUNITY SERVICES OF THE ARCHDIOCESE OF DENVER
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Dates
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Enumeration Date | 09/10/2024
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Last Update Date | 12/19/2024
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Provider Practice Location Address
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Address Line | 4330 E 48TH AVE
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City | DENVER
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State | CO
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Zip | 80216-3228
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Country | US
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Telephone | 303-742-0828
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Fax |
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Provider Business Mailing Address
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Address Line | 6240 SMITH RD
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City | DENVER
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State | CO
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Zip | 80216-4632
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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 | CLINICAL DIRECTOR
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Name | STACEY HOFFMAN HIATT
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Credential | LCSW
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Telephone | 720-799-9387
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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