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General NPI Number Information
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NPI Number | 1275030660
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Entity Type | Individual
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Provider Name | MONIQUE MEJIA
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Gender | Female
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Dates
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Enumeration Date | 04/11/2018
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Last Update Date | 04/11/2018
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Provider Practice Location Address
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Address Line | 979 GALAPAGO ST
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City | DENVER
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State | CO
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Zip | 80204-3940
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Country | US
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Telephone | 303-504-6892
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Fax |
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Provider Business Mailing Address
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Address Line | 12913 E LOUISIANA AVE
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City | AURORA
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State | CO
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Zip | 80012-4416
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Country | US
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Telephone | 720-276-0126
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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 |
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License Number State |
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