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General NPI Number Information
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NPI Number | 1477648574
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Entity Type | Individual
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Provider Name | LAURA ELLISON-HUTCHINSON M.S.W., LCSW
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Gender | Female
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Dates
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Enumeration Date | 10/04/2006
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Last Update Date | 01/05/2024
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Provider Practice Location Address
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Address Line | 860 POTOMAC CIR
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City | AURORA
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State | CO
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Zip | 80011-6714
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Country | US
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Telephone | 720-848-0000
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 110429
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City | AURORA
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State | CO
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Zip | 80042-0429
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Country | US
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Telephone |
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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 | 2000152228
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License Number State | MO
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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 | 3547
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License Number State | KS
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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 | 926028
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License Number State | CO
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