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General NPI Number Information
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NPI Number | 1922464916
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Entity Type | Individual
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Provider Name | TAWNIA VALDEZ LCSW
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Gender | Female
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Dates
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Enumeration Date | 01/07/2016
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Last Update Date | 05/19/2021
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Provider Practice Location Address
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Address Line | 524 N TEJON ST
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City | COLORADO SPRINGS
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State | CO
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Zip | 80903-4926
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Country | US
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Telephone | 719-401-3035
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 6562
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City | COLORADO SPRINGS
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State | CO
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Zip | 80934-6562
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Country | US
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Telephone | 719-565-7868
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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 | CSW09926916
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License Number State | CO
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