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General NPI Number Information
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NPI Number | 1457700312
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Entity Type | Individual
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Provider Name | LISA WATSON
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Gender | Female
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Dates
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Enumeration Date | 06/10/2016
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Last Update Date | 09/07/2025
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Provider Practice Location Address
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Address Line | 250 FILLMORE ST UNIT 150
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City | DENVER
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State | CO
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Zip | 80206-5001
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Country | US
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Telephone | 887-258-0288
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Fax |
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Provider Business Mailing Address
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Address Line | 250 FILLMORE ST UNIT 150
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City | DENVER
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State | CO
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Zip | 80206-5001
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Country | US
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Telephone | 887-258-0288
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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 | 4487
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License Number State | HI
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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 | 60992547
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License Number State | WA
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Taxonomy #3
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 09925885
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License Number State | CO
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