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General NPI Number Information
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NPI Number | 1811093016
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Entity Type | Individual
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Provider Name | CYNTHIA ELLEN HURD-TERPSTRA MPH, LCSW
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Gender | Female
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Dates
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Enumeration Date | 09/15/2006
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Last Update Date | 01/04/2017
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Provider Practice Location Address
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Address Line | 155 BOARDWALK DR STE 400
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City | FORT COLLINS
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State | CO
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Zip | 80525-3040
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Country | US
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Telephone | 970-481-0146
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Fax | 970-232-3101
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Provider Business Mailing Address
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Address Line | 4344 WESTBROOKE DR
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City | FORT COLLINS
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State | CO
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Zip | 80526-3455
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Country | US
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Telephone | 970-481-0146
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Fax | 970-232-3101
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | SW 288
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License Number State | CO
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