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General NPI Number Information
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NPI Number | 1497571129
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Entity Type | Organization
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Legal Business Name | JOHANNA LOPEZ MENDEZ PLLC
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Dates
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Enumeration Date | 11/26/2024
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Last Update Date | 12/04/2024
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Provider Practice Location Address
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Address Line | 1501 S LINCOLN ST
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City | DENVER
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State | CO
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Zip | 80210-2617
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Country | US
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Telephone | 720-360-7178
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Fax |
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Provider Business Mailing Address
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Address Line | 1501 S LINCOLN ST
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City | DENVER
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State | CO
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Zip | 80210-2617
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Country | US
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Telephone |
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Fax | 720-360-7178
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Authorized Official
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Title or Position | THERAPIST
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Name | JOHANNA LOPEZ MENDEZ
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Credential |
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Telephone | 720-360-7178
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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 |
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License Number State |
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