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General NPI Number Information
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NPI Number | 1619779592
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Entity Type | Individual
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Provider Name | JENNIFER ZUCCONE LSW
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Gender | Female
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Dates
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Enumeration Date | 03/24/2025
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Last Update Date | 03/24/2025
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Provider Practice Location Address
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Address Line | 1169 HILLTOP PKWY UNIT 206A
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City | STEAMBOAT SPRINGS
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State | CO
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Zip | 80487-3176
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Country | US
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Telephone | 970-761-2148
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Fax |
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Provider Business Mailing Address
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Address Line | 1169 HILLTOP PKWY UNIT 206A
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City | STEAMBOAT SPRINGS
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State | CO
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Zip | 80487-3176
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Country | US
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Telephone | 602-820-5193
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | LSW.0009922457
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License Number State | CO
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