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General NPI Number Information
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NPI Number | 1851193908
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Entity Type | Individual
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Provider Name | LACEY HUTCHISON POMERANTZ EDS
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Gender | Female
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Dates
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Enumeration Date | 03/26/2025
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Last Update Date | 03/26/2025
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Provider Practice Location Address
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Address Line | 8226 E LEHIGH AVE
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City | DENVER
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State | CO
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Zip | 80237-1638
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Country | US
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Telephone | 504-491-6098
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Fax |
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Provider Business Mailing Address
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Address Line | 8226 E LEHIGH AVE
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City | DENVER
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State | CO
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Zip | 80237-1638
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Country | US
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Telephone | 504-491-6098
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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 | 103TS0200X
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Taxonomy Name | School Psychologist
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License Number | 24458974
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License Number State | CO
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Taxonomy #2
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Taxonomy Code | 103TS0200X
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Taxonomy Name | School Psychologist
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License Number | 614188A
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License Number State | WA
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