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General NPI Number Information
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NPI Number | 1336245430
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Entity Type | Individual
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Provider Name | SUSAN E AVNER LCSW
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Gender | Female
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Dates
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Enumeration Date | 09/15/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 7100 E BELLEVIEW SUITE 109
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City | ENGLEWOOD
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State | CO
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Zip | 80111
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Country | US
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Telephone | 303-779-1522
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Fax | 303-694-1097
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Provider Business Mailing Address
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Address Line | 6168 MASSIVE PEAK LOOP
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City | CASTLE ROCK
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State | CO
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Zip | 80108
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Country | US
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Telephone | 303-779-1522
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Fax | 303-694-1097
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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 | 989980LCSW
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License Number State | CO
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