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General NPI Number Information
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NPI Number | 1477102499
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Entity Type | Individual
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Provider Name | TAMARA SUE RIMER LCSW
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Gender | Female
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Dates
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Enumeration Date | 09/11/2019
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Last Update Date | 09/11/2019
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Provider Practice Location Address
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Address Line | 8000 E PRENTICE AVE STE B14
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City | GREENWOOD VILLAGE
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State | CO
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Zip | 80111-2758
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Country | US
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Telephone | 303-601-8493
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1299
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City | WHITEFISH
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State | MT
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Zip | 59937-1299
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Country | US
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Telephone | 303-601-8493
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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 | CSW.00991261
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License Number State | CO
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