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General NPI Number Information
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NPI Number | 1922434356
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Entity Type | Organization
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Legal Business Name | SUZANNE M SMITH, INC
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Dates
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Enumeration Date | 09/17/2013
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Last Update Date | 09/17/2013
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Provider Practice Location Address
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Address Line | 16877 E FAIR PL
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City | AURORA
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State | CO
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Zip | 80016-5014
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Country | US
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Telephone | 303-475-2757
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Fax | 720-210-9814
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Provider Business Mailing Address
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Address Line | 7600 E ARAPAHOE RD SUITE 305
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City | CENTENNIAL
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State | CO
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Zip | 80112-1260
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Country | US
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Telephone | 303-475-2757
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Fax | 720-210-9814
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Authorized Official
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Title or Position | OWNER
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Name | SUZANNE M SMITH
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Credential | LCSW
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Telephone | 303-475-2757
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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 | 1923
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License Number State | CO
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