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General NPI Number Information
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NPI Number | 1497261473
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Entity Type | Individual
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Provider Name | JULIE CASPERSON
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Gender | Female
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Dates
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Enumeration Date | 12/28/2017
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Last Update Date | 09/12/2025
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Provider Practice Location Address
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Address Line | 1750 E KEN PRATT BLVD
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City | LONGMONT
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State | CO
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Zip | 80504-5311
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Country | US
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Telephone | 720-718-7000
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Fax | 720-718-0900
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Provider Business Mailing Address
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Address Line | 1590 BRADLEY DR
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City | BOULDER
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State | CO
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Zip | 80305-7377
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | ISW12172
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License Number State | FL
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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.09926817
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License Number State | CO
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