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General NPI Number Information
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NPI Number | 1780849760
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Entity Type | Organization
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Legal Business Name | CRAIG ACKNIPPENBERG, LCSW, MDV, PC
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Dates
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Enumeration Date | 07/18/2008
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Last Update Date | 01/10/2017
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Provider Practice Location Address
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Address Line | 2650 S. EUDORA ST.
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City | DENVER
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State | CO
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Zip | 80222
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Country | US
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Telephone | 303-756-4924
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Fax | 303-756-5204
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Provider Business Mailing Address
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Address Line | 3179 S FOREST ST
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City | DENVER
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State | CO
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Zip | 80222-7350
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Country | US
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Telephone | 303-756-4924
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Fax | 303-756-5204
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. CRAIG A. KNIPPENBERG
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Credential | LCSW
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Telephone | 303-756-4924
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 989-274
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License Number State | CO
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