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General NPI Number Information
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NPI Number | 1285597823
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Entity Type | Organization
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Legal Business Name | INTEGRATIVE LIFE SERVICES LLC
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Dates
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Enumeration Date | 12/09/2025
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Last Update Date | 12/09/2025
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Provider Practice Location Address
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Address Line | 1711 S PEARL ST
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City | DENVER
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State | CO
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Zip | 80210-3184
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Country | US
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Telephone | 303-482-2026
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Fax |
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Provider Business Mailing Address
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Address Line | 416 S GRANT ST
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City | DENVER
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State | CO
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Zip | 80209-1727
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Country | US
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Telephone | 303-514-3592
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | ERICA VIGGIANO
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Credential | LCSW
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Telephone | 303-482-2026
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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 |
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License Number State |
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