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General NPI Number Information
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NPI Number | 1528922952
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Entity Type | Individual
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Provider Name | BROOKE IVERSON MSW, SWC
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Gender | Female
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Dates
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Enumeration Date | 12/10/2025
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Last Update Date | 12/10/2025
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Provider Practice Location Address
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Address Line | 4820 RUSINA RD STE C
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City | COLORADO SPRINGS
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State | CO
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Zip | 80907-8127
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Country | US
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Telephone | 719-354-5378
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Fax |
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Provider Business Mailing Address
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Address Line | 8722 BITTERCRESS DR
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City | COLORADO SPRINGS
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State | CO
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Zip | 80925-9653
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Country | US
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Telephone | 308-224-7650
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | SWC.0000001866
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License Number State | CO
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