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General NPI Number Information
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NPI Number | 1841006731
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Entity Type | Individual
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Provider Name | ISABELLA SOFIA PEREZ LCSW
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Gender | Female
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Dates
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Enumeration Date | 12/05/2024
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Last Update Date | 12/06/2024
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Provider Practice Location Address
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Address Line | 5555 S ELATI ST
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City | LITTLETON
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State | CO
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Zip | 80120-1624
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Country | US
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Telephone | 303-798-8686
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Fax |
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Provider Business Mailing Address
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Address Line | 1964 S VIVIAN ST
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City | LAKEWOOD
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State | CO
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Zip | 80228-4456
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Country | US
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Telephone | 352-215-0955
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | CSW.09931037
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License Number State | CO
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