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General NPI Number Information
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NPI Number | 1831045079
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Entity Type | Individual
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Provider Name | CHRISTIAN DIETRICH
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Gender | Male
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Dates
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Enumeration Date | 03/09/2026
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Last Update Date | 03/09/2026
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Provider Practice Location Address
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Address Line | 8490 E CRESCENT PKWY STE 200
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City | GREENWOOD VILLAGE
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State | CO
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Zip | 80111-2802
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Country | US
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Telephone | 303-229-5348
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Fax |
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Provider Business Mailing Address
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Address Line | 7777 E YALE AVE APT N108
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City | DENVER
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State | CO
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Zip | 80231-6066
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Country | US
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Telephone |
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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.0009926823
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License Number State | CO
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