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General NPI Number Information
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NPI Number | 1528812419
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Entity Type | Organization
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Legal Business Name | REBECCA LEDFORD LLC
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Dates
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Enumeration Date | 04/16/2024
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Last Update Date | 04/16/2024
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Provider Practice Location Address
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Address Line | 3441 COUNTY ROAD 514
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City | IGNACIO
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State | CO
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Zip | 81137-9150
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Country | US
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Telephone | 970-749-8352
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Fax |
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Provider Business Mailing Address
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Address Line | 3441 COUNTY ROAD 514
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City | IGNACIO
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State | CO
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Zip | 81137-9150
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Country | US
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Telephone | 970-749-8352
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Fax |
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Authorized Official
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Title or Position | BEHAVIORAL HEALTH PROVIDER
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Name | REBECCA LEDFORD
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Credential | MSW, LSW
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Telephone | 970-749-8352
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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 |
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License Number State |
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