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General NPI Number Information
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NPI Number | 1346026481
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Entity Type | Individual
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Provider Name | MS. RACHEL KELLEY
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Gender | Female
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Dates
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Enumeration Date | 09/05/2023
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Last Update Date | 09/05/2023
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Provider Practice Location Address
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Address Line | 12000 E 47TH AVE
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City | DENVER
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State | CO
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Zip | 80239-3143
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Country | US
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Telephone | 303-504-6500
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Fax |
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Provider Business Mailing Address
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Address Line | 4141 E DICKENSON PL
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City | DENVER
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State | CO
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Zip | 80222-6012
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Country | US
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Telephone | 303-504-6500
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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 |
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License Number State |
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