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General NPI Number Information
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NPI Number | 1720601370
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Entity Type | Individual
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Provider Name | HILLARY PRESPER LSW
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Gender | Female
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Dates
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Enumeration Date | 05/18/2020
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Last Update Date | 08/11/2021
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Provider Practice Location Address
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Address Line | 4704 HARLAN ST
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City | DENVER
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State | CO
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Zip | 80212-7415
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Country | US
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Telephone | 872-256-8367
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Fax |
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Provider Business Mailing Address
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Address Line | 205 BERTHOUD WAY
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City | GOLDEN
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State | CO
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Zip | 80401-4813
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Country | US
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Telephone | 330-730-3505
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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.0009922406
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License Number State | CO
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | CSW.09927423
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License Number State | CO
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