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General NPI Number Information
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NPI Number | 1508357781
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Entity Type | Individual
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Provider Name | HEATHER F HARCOURT MSW, PHD
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Gender | Female
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Dates
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Enumeration Date | 05/23/2018
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Last Update Date | 05/09/2025
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Provider Practice Location Address
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Address Line | 817 COLORADO AVE # 200
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City | GLENWOOD SPRINGS
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State | CO
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Zip | 81601-3349
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Country | US
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Telephone | 303-495-0522
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Fax |
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Provider Business Mailing Address
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Address Line | 25833 HIGHWAY 181 # 104
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City | DAPHNE
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State | AL
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Zip | 36526-6101
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Country | US
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Telephone | 303-495-0522
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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 | LCSW-1113
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License Number State | WY
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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 | 4307C
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License Number State | AL
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Taxonomy #3
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number | CSW.09925683
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License Number State | CO
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