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NPI 1689454324

NPI 1689454324 : CHRISTY MCNAUL ROYSTER, LLC : DENVER, CO

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General NPI Number Information
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    NPI Number           |    1689454324
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    Entity Type          |    Organization 
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    Legal Business Name  |    CHRISTY MCNAUL ROYSTER, LLC 
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Dates
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    Enumeration Date     |    10/02/2023
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    Last Update Date     |    10/02/2023
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Provider Practice Location Address
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    Address Line         |    1220 S PARKER RD STE 201A 
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    City                 |    DENVER
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    State                |    CO
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    Zip                  |    80231-2115
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    Country              |    US
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    Telephone            |    720-506-1512
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    1220 S PARKER RD STE 201A 
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    City                 |    DENVER
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    State                |    CO
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    Zip                  |    80231-2115
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    Country              |    US
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    Telephone            |    
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    Fax                  |    
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |     CHRISTINE  ROYSTER 
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    Credential           |    LCSW
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    Telephone            |    720-507-1512
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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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