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General NPI Number Information
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NPI Number | 1437586815
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Entity Type | Individual
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Provider Name | LINNEA DELUISE LCSW
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Gender | Female
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Dates
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Enumeration Date | 10/01/2013
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Last Update Date | 05/05/2022
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Provider Practice Location Address
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Address Line | 2000 S. COLORADO BLVD. TOWER ONE, SUITE 2000 - #56
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City | DENVER
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State | CO
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Zip | 80222
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Country | US
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Telephone | 720-580-5913
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Fax |
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Provider Business Mailing Address
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Address Line | 2000 S. COLORADO BLVD. TOWER ONE, SUITE 2000 - #56
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City | DENVER
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State | CO
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Zip | 80222
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Country | US
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Telephone | 720-580-5913
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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 | 172V00000X
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Taxonomy Name | Community Health Worker
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | CSW.09926857
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License Number State | CO
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