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General NPI Number Information
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NPI Number | 1275805533
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Entity Type | Individual
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Provider Name | HANNAH MARIE NUSZ LMSW
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Gender | Female
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Dates
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Enumeration Date | 02/02/2012
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Last Update Date | 12/18/2019
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Provider Practice Location Address
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Address Line | 535 CANDELARIA DRIVE
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City | IGNACIO
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State | CO
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Zip | 81137-0800
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Country | US
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Telephone | 970-563-4517
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Fax |
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Provider Business Mailing Address
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Address Line | 281 SILVER QUEEN S UNIT 110B
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City | DURANGO
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State | CO
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Zip | 81301-9433
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Country | US
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Telephone | 913-205-3023
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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 | CSW.09923677
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License Number State | CO
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