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General NPI Number Information
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NPI Number | 1720894884
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Entity Type | Individual
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Provider Name | LINDSEY ROARK CAS
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Gender | Female
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Dates
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Enumeration Date | 12/04/2024
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Last Update Date | 12/04/2024
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Provider Practice Location Address
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Address Line | 9725 E HAMPDEN AVE # G130
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City | DENVER
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State | CO
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Zip | 80231-4915
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Country | US
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Telephone | 310-988-8028
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Fax |
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Provider Business Mailing Address
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Address Line | 816 ACOMA ST UNIT 401
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City | DENVER
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State | CO
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Zip | 80204-4042
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Country | US
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Telephone | 310-988-8028
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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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | ACC.0021309
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License Number State | CO
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