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General NPI Number Information
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NPI Number | 1760279350
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Entity Type | Individual
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Provider Name | CATHARINE ROSS IVERSEN
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Gender | Female
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Dates
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Enumeration Date | 04/24/2025
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Last Update Date | 04/24/2025
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Provider Practice Location Address
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Address Line | 2150 W 29TH AVE STE 330
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City | DENVER
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State | CO
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Zip | 80211-3889
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Country | US
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Telephone | 720-261-7042
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Fax |
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Provider Business Mailing Address
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Address Line | 1360 MONACO PKWY
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City | DENVER
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State | CO
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Zip | 80220-2843
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Country | US
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Telephone | 512-695-5554
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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 | 0009926172
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License Number State | CO
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