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General NPI Number Information
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NPI Number | 1588145817
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Entity Type | Individual
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Provider Name | CHRISTIAN PORTER TORRES-GEORGE LCSW
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Gender | Male
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Dates
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Enumeration Date | 08/24/2018
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Last Update Date | 05/29/2024
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Provider Practice Location Address
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Address Line | 720 S COLORADO BLVD # 1338
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City | DENVER
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State | CO
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Zip | 80246-1904
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Country | US
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Telephone | 484-896-9161
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Fax |
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Provider Business Mailing Address
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Address Line | 1935 N LOGAN ST APT 319
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City | DENVER
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State | CO
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Zip | 80203-4385
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Country | US
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Telephone | 303-918-0977
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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.09927997
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License Number State | CO
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