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General NPI Number Information
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NPI Number | 1790436970
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Entity Type | Individual
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Provider Name | REBEKAH L PASTER
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Gender | Female
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Dates
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Enumeration Date | 01/10/2022
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Last Update Date | 01/10/2022
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Provider Practice Location Address
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Address Line | 1490 N LAFAYETTE ST
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City | DENVER
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State | CO
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Zip | 80218-2339
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Country | US
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Telephone | 303-954-4052
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Fax | 303-399-8010
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Provider Business Mailing Address
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Address Line | 12954 W ILIFF AVE # 108
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City | LAKEWOOD
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State | CO
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Zip | 80228-4336
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Country | US
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Telephone | 303-954-4052
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Fax | 303-399-8010
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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 | 0009923683
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License Number State | CO
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