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General NPI Number Information
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NPI Number | 1568970762
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Entity Type | Individual
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Provider Name | AMY SIERRA KASPAR LCSW
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Gender | Female
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Dates
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Enumeration Date | 01/22/2018
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Last Update Date | 01/22/2018
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Provider Practice Location Address
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Address Line | 2855 N SPEER BLVD
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City | DENVER
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State | CO
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Zip | 80211-4239
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Country | US
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Telephone | 720-903-2675
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Fax |
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Provider Business Mailing Address
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Address Line | 3758 NEWTON ST
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City | DENVER
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State | CO
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Zip | 80211-2747
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Country | US
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Telephone | 402-215-8708
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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 | 09924234
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License Number State | CO
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