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General NPI Number Information
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NPI Number | 1871393595
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Entity Type | Individual
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Provider Name | COURTNEY KUEPPER
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Gender | Female
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Dates
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Enumeration Date | 03/13/2025
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Last Update Date | 03/13/2025
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Provider Practice Location Address
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Address Line | 1025 PENNOCK PL STE 114
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City | FORT COLLINS
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State | CO
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Zip | 80524-3250
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Country | US
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Telephone | 970-495-8800
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Fax | 970-495-8820
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Provider Business Mailing Address
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Address Line | 2695 ROCKY MOUNTAIN AVE STE 150
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City | LOVELAND
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State | CO
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Zip | 80538-9071
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Country | US
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Telephone | 970-624-2421
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Fax | 970-490-4156
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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.00000356
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License Number State | CO
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