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General NPI Number Information
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NPI Number | 1780577569
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Entity Type | Individual
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Provider Name | AURORA GRACE O'CONNOR LSW
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Gender | Female
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Dates
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Enumeration Date | 05/31/2025
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Last Update Date | 05/31/2025
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Provider Practice Location Address
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Address Line | 2698 PATTERSON RD # 42
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City | GRAND JUNCTION
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State | CO
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Zip | 81506-8818
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Country | US
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Telephone | 970-298-2800
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Fax |
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Provider Business Mailing Address
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Address Line | 2454 RIDGE VISTA LN APT 715
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City | GRAND JUNCTION
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State | CO
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Zip | 81505-1690
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Country | US
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Telephone | 719-460-1161
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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.0009926358
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License Number State | CO
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