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General NPI Number Information
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NPI Number | 1679421275
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Entity Type | Individual
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Provider Name | TRICIA KROB SWC
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Gender | Female
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Dates
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Enumeration Date | 03/19/2026
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Last Update Date | 03/19/2026
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Provider Practice Location Address
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Address Line | 22459 E PLYMOUTH CIR
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City | AURORA
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State | CO
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Zip | 80016-2788
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Country | US
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Telephone | 303-514-5542
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Fax |
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Provider Business Mailing Address
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Address Line | 1373 CARLYLE PARK CIR
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City | HIGHLANDS RANCH
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State | CO
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Zip | 80129-6974
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Country | US
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Telephone | 303-514-5542
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | SWC.0000001654
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License Number State | CO
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