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NPI 1538934575

NPI 1538934575 : MERISSA COPE SWC : DENVER, CO

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General NPI Number Information
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    NPI Number           |    1538934575
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    Entity Type          |    Individual 
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    Provider Name        |    MERISSA COPE SWC
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    11/20/2023
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    Last Update Date     |    11/20/2023
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Provider Practice Location Address
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    Address Line         |    50 S STEELE ST STE 377 
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    City                 |    DENVER
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    State                |    CO
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    Zip                  |    80209-2808
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    Country              |    US
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    Telephone            |    720-318-2450
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    411 HARLAN ST 
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    City                 |    LAKEWOOD
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    State                |    CO
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    Zip                  |    80226-1861
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    Country              |    US
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    Telephone            |    443-466-4478
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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       |    SWC.0000001604
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    License Number State |    CO
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