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General NPI Number Information
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NPI Number | 1710567664
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Entity Type | Individual
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Provider Name | CAMERON PRISJATSCHEW LSW
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Gender | Female
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Dates
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Enumeration Date | 04/13/2021
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Last Update Date | 04/19/2021
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Provider Practice Location Address
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Address Line | 90 MADISON ST STE 704
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City | DENVER
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State | CO
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Zip | 80206-5416
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Country | US
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Telephone | 970-924-0570
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Fax |
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Provider Business Mailing Address
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Address Line | 3871 LONGS PEAK CIR
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City | PARKER
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State | CO
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Zip | 80138-4214
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Country | US
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Telephone | 720-364-0932
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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.0009921958
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License Number State | CO
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