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General NPI Number Information
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NPI Number | 1790462893
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Entity Type | Individual
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Provider Name | WILLIAM SKYLER KIRK LSW
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Gender | Male
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Dates
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Enumeration Date | 06/29/2023
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Last Update Date | 06/29/2023
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Provider Practice Location Address
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Address Line | 750 W HAMPDEN AVE STE 375
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City | ENGLEWOOD
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State | CO
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Zip | 80110-2221
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Country | US
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Telephone | 303-578-6318
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Fax |
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Provider Business Mailing Address
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Address Line | 481 W 79TH PL
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City | DENVER
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State | CO
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Zip | 80221-4042
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Country | US
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Telephone | 772-766-3208
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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.0009924848
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License Number State | CO
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