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General NPI Number Information
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NPI Number | 1407601552
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Entity Type | Individual
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Provider Name | TRACY SKERIK LITTLE
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Gender | Female
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Dates
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Enumeration Date | 04/22/2024
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Last Update Date | 04/22/2024
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Provider Practice Location Address
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Address Line | CHERRY CREEK SCHOOL DISTRICT 4750 S. YOSEMITE ST.
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City | GREENWOOD VILLAGE
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State | CO
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Zip | 80111-1308
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Country | US
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Telephone | 303-915-2121
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Fax |
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Provider Business Mailing Address
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Address Line | 6434 S NEWPORT CT # 80111
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City | CENTENNIAL
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State | CO
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Zip | 80111-4661
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Country | US
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Telephone | 303-915-2121
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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 | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | SLP.0005159
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License Number State | CO
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