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General NPI Number Information
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NPI Number | 1255987350
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Entity Type | Individual
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Provider Name | JAYME ANN KONDE LSW
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Gender | Female
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Dates
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Enumeration Date | 08/14/2019
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Last Update Date | 08/14/2019
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Provider Practice Location Address
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Address Line | 15132 E HAMPDEN AVE STE G
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City | AURORA
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State | CO
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Zip | 80014-5038
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Country | US
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Telephone | 303-360-6276
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Fax | 303-762-6547
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Provider Business Mailing Address
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Address Line | 3701 S BROADWAY
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City | ENGLEWOOD
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State | CO
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Zip | 80113-3611
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Country | US
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Telephone | 303-360-6276
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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 | LSW.0009922077
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License Number State | CO
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