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General NPI Number Information
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NPI Number | 1861204042
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Entity Type | Individual
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Provider Name | AYANA THAANUM
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Gender | Female
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Dates
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Enumeration Date | 01/23/2025
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Last Update Date | 01/23/2025
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Provider Practice Location Address
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Address Line | 834 S PERRY ST SUITE F #668
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City | CASTLE ROCK
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State | CO
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Zip | 80104
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Country | US
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Telephone | 720-767-2787
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Fax |
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Provider Business Mailing Address
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Address Line | 12040 MOSEY LN
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City | PARKER
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State | CO
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Zip | 80138-6318
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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