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General NPI Number Information
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NPI Number | 1497459655
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Entity Type | Individual
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Provider Name | ALEXANDRIA POTESTA SWC, LSW
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Gender | Female
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Dates
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Enumeration Date | 03/29/2023
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Last Update Date | 08/20/2025
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Provider Practice Location Address
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Address Line | 8774 YATES DR STE 320
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City | WESTMINSTER
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State | CO
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Zip | 80031-6906
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Country | US
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Telephone | 970-658-9592
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Fax |
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Provider Business Mailing Address
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Address Line | 3758 E 104TH AVE # 719
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City | THORNTON
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State | CO
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Zip | 80233-4434
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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 | CSW.09931852
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License Number State | CO
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