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General NPI Number Information
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NPI Number | 1578204178
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Entity Type | Individual
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Provider Name | VERONICA ALYSE OLESEN LCSW
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Gender | Female
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Dates
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Enumeration Date | 04/06/2022
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Last Update Date | 03/31/2024
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Provider Practice Location Address
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Address Line | 1745 SHEA CENTER DR STE 488
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City | HIGHLANDS RANCH
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State | CO
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Zip | 80129-1537
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Country | US
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Telephone | 904-574-2355
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Fax |
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Provider Business Mailing Address
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Address Line | 8417 RIZZA ST UNIT A
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City | HIGHLANDS RANCH
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State | CO
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Zip | 80129-3095
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Country | US
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Telephone | 904-574-2355
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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 | SW21596
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | CSW.09929441
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License Number State | CO
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