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General NPI Number Information
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NPI Number | 1558994327
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Entity Type | Individual
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Provider Name | HEATHER MICHELE DAVIS LCSW
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Gender | Female
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Dates
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Enumeration Date | 02/19/2020
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Last Update Date | 09/18/2020
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Provider Practice Location Address
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Address Line | 2727 BRYANT ST STE 210
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City | DENVER
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State | CO
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Zip | 80211-4152
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Country | US
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Telephone | 720-409-1814
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Fax |
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Provider Business Mailing Address
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Address Line | 2525 18TH ST
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City | DENVER
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State | CO
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Zip | 80211-4094
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Country | US
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Telephone | 732-882-3847
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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 | CSW.09925844
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License Number State | CO
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