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NPI 1467747923

NPI 1467747923 : REBECCA ELA LCSW : HOTCHKISS, CO

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General NPI Number Information
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    NPI Number           |    1467747923
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    Entity Type          |    Individual 
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    Provider Name        |    REBECCA ELA LCSW
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    06/13/2011
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    Last Update Date     |    10/28/2024
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Provider Practice Location Address
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    Address Line         |    230 E HOTCHKISS AVE ALL AMERICAN FAMILIES
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    City                 |    HOTCHKISS
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    State                |    CO
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    Zip                  |    81419
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    Country              |    US
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    Telephone            |    970-872-1400
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    115 GRAND AVE, SUITE #2 ALL AMERICAN FAMILIES
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    City                 |    DELTA
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    State                |    CO
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    Zip                  |    81416-2017
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    Country              |    US
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    Telephone            |    970-874-0464
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    Fax                  |    970-874-0464
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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       |    CSW.00001657
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    License Number State |    CO
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