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General NPI Number Information
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NPI Number | 1245417914
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Entity Type | Individual
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Provider Name | ROBIN DEISHER MA, MSW, LCSW-S
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Gender | Female
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Dates
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Enumeration Date | 01/24/2008
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Last Update Date | 06/20/2024
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Provider Practice Location Address
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Address Line | 4851 INDEPENDENCE ST
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City | WHEAT RIDGE
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State | CO
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Zip | 80033-6715
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Country | US
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Telephone | 303-425-0300
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Fax |
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Provider Business Mailing Address
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Address Line | 4851 INDEPENDENCE ST
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City | WHEAT RIDGE
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State | CO
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Zip | 80033-6715
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Country | US
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Telephone | 303-425-0300
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | LW60111382
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License Number State | WA
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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 | 1200207-SUPV
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License Number State | OH
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Taxonomy #3
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 58706
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License Number State | TX
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Taxonomy #4
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | CSW.09929206
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License Number State | CO
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