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General NPI Number Information
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NPI Number | 1568953024
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Entity Type | Individual
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Provider Name | EMILY CUNNINGHAM LCSW
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Gender | Female
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Dates
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Enumeration Date | 05/21/2018
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Last Update Date | 05/21/2018
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Provider Practice Location Address
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Address Line | 421 ZANG ST
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City | LAKEWOOD
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State | CO
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Zip | 80228-1052
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Country | US
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Telephone | 303-989-4357
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Fax |
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Provider Business Mailing Address
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Address Line | 3835 MAIN ST UNIT 203
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City | WESTMINSTER
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State | CO
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Zip | 80031-5051
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Country | US
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Telephone | 813-928-6908
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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.09925291
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License Number State | CO
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