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General NPI Number Information
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NPI Number | 1700372232
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Entity Type | Organization
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Legal Business Name | CHILD COMMUNITY SERVICES
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Dates
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Enumeration Date | 07/09/2018
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Last Update Date | 04/05/2022
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Provider Practice Location Address
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Address Line | 5390 N ACADEMY BLVD STE 200
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City | COLORADO SPRINGS
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State | CO
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Zip | 80918-4064
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Country | US
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Telephone | 719-440-6445
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Fax | 719-374-5907
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Provider Business Mailing Address
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Address Line | 5390 N ACADEMY BLVD STE 200
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City | COLORADO SPRINGS
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State | CO
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Zip | 80918-4064
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Country | US
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Telephone | 719-440-6445
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Fax | 719-374-5907
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Authorized Official
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Title or Position | CEO
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Name | CHRISTINE TALBOTT
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Credential |
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Telephone | 719-440-6445
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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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