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General NPI Number Information
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NPI Number | 1427464932
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Entity Type | Organization
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Legal Business Name | BETH BARTA LCSW CAC 111 LLC
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Dates
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Enumeration Date | 07/03/2014
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Last Update Date | 11/05/2024
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Provider Practice Location Address
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Address Line | 1750 N LAFAYETTE ST
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City | DENVER
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State | CO
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Zip | 80218-1117
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Country | US
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Telephone | 209-266-7667
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Fax | 720-386-9758
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Provider Business Mailing Address
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Address Line | PO BOX 181884
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City | DENVER
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State | CO
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Zip | 80218-8835
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Country | US
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Telephone | 303-246-3219
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Fax | 720-386-9758
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Authorized Official
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Title or Position | OWNER
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Name | BETHANY ANN BARTA
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Credential |
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Telephone | 720-926-6766
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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 | 992831
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License Number State | CO
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