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General NPI Number Information
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NPI Number | 1619210382
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Entity Type | Individual
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Provider Name | DARLENE BRACE LCSW LAC
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Gender | Female
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Dates
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Enumeration Date | 04/01/2013
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Last Update Date | 04/27/2023
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Provider Practice Location Address
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Address Line | 3800 N YORK ST
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City | DENVER
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State | CO
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Zip | 80205-3540
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Country | US
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Telephone | 720-833-5086
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Fax |
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Provider Business Mailing Address
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Address Line | 12565 EUDORA ST
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City | THORNTON
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State | CO
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Zip | 80241-3043
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Country | US
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Telephone | 970-903-3588
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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.00001998
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License Number State | CO
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