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General NPI Number Information
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NPI Number | 1306166079
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Entity Type | Individual
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Provider Name | MRS. SHERRIE BEDONIE
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Gender | Female
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Dates
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Enumeration Date | 06/04/2010
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Last Update Date | 08/17/2020
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Provider Practice Location Address
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Address Line | 2620 S PARKER RD STE 151
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City | AURORA
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State | CO
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Zip | 80014-1608
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Country | US
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Telephone | 720-262-4755
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Fax |
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Provider Business Mailing Address
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Address Line | 5500 DTC PKWY APT 1114
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City | GREENWOOD VILLAGE
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State | CO
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Zip | 80111-3175
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Country | US
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Telephone | 505-360-5450
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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 | CSW.09924169
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License Number State | CO
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