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General NPI Number Information
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NPI Number | 1871272039
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Entity Type | Individual
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Provider Name | PATRICK E GRIEGO CSW
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Gender | Male
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Dates
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Enumeration Date | 07/14/2023
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Last Update Date | 01/29/2025
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Provider Practice Location Address
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Address Line | 408 N MAIN ST ROCKY FORD STE H
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City | ROCKY FORD
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State | CO
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Zip | 81067
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Country | US
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Telephone | 970-703-4824
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Fax |
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Provider Business Mailing Address
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Address Line | 408 N MAIN ST ROCKY FORD STE E
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City | ROCKY FORD
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State | CO
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Zip | 81067-1256
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Country | US
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Telephone | 970-703-4824
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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.09931129
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License Number State | CO
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