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General NPI Number Information
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NPI Number | 1528640034
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Entity Type | Individual
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Provider Name | ALYSSA EVE BEKERMAN
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Gender | Female
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Dates
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Enumeration Date | 04/23/2021
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Last Update Date | 10/24/2023
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Provider Practice Location Address
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Address Line | 1635 AURORA CT
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City | AURORA
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State | CO
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Zip | 80045-2541
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Country | US
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Telephone | 720-965-2417
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Fax |
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Provider Business Mailing Address
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Address Line | 190 E 9TH AVE STE 290
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City | DENVER
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State | CO
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Zip | 80203-2744
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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 |
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License Number State | CO
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