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General NPI Number Information
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NPI Number | 1902208473
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Entity Type | Individual
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Provider Name | GINA MARIE MYERS LCSW
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Gender | Female
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Dates
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Enumeration Date | 09/16/2014
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Last Update Date | 05/06/2022
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Provider Practice Location Address
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Address Line | 206 W COUNTY LINE RD STE 300
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City | HIGHLANDS RANCH
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State | CO
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Zip | 80129-2321
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Country | US
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Telephone | 303-795-5980
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Fax | 303-795-7881
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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 | 970-624-4123
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Fax | 970-624-2416
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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.09923187
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License Number State | CO
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 09923187
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License Number State | CO
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