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General NPI Number Information
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NPI Number | 1609020742
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Entity Type | Individual
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Provider Name | JURGEN ALLEN MSW
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Gender | Male
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Dates
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Enumeration Date | 11/14/2008
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Last Update Date | 11/14/2008
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Provider Practice Location Address
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Address Line | 11285 HIGHLINE DRIVE COMMUNTIY REACH CENTER
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City | NORTHGLENN
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State | CO
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Zip | 80233
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Country | US
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Telephone | 303-428-7618
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Fax |
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Provider Business Mailing Address
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Address Line | 4963 PERRY ST
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City | DENVER
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State | CO
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Zip | 80212-2630
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Country | US
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Telephone | 303-818-8496
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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 |
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License Number State |
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