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General NPI Number Information
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NPI Number | 1568926277
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Entity Type | Individual
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Provider Name | MOLLY WARD LSW
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Gender | Female
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Dates
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Enumeration Date | 01/27/2019
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Last Update Date | 01/27/2019
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Provider Practice Location Address
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Address Line | 1780 S BELLAIRE ST STE 485
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City | DENVER
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State | CO
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Zip | 80222-4326
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Country | US
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Telephone | 603-325-2127
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Fax |
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Provider Business Mailing Address
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Address Line | 4803 E KENTUCKY AVE APT 615
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City | DENVER
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State | CO
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Zip | 80246-2224
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Country | US
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Telephone | 603-325-2127
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 0009922004
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License Number State | CO
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