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General NPI Number Information
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NPI Number | 1982788105
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Entity Type | Individual
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Provider Name | LIBBY LORETTA BORTZ MSW LCSW
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Gender | Female
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Dates
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Enumeration Date | 10/24/2006
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Last Update Date | 06/30/2018
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Provider Practice Location Address
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Address Line | 2927 SUMMER WIND LN # 4404
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City | HIGHLANDS RANCH
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State | CO
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Zip | 80129-2486
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Country | US
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Telephone | 303-523-1108
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Fax | 303-267-0625
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Provider Business Mailing Address
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Address Line | 2927 SUMMER WIND LN # 4404
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City | HIGHLANDS RANCH
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State | CO
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Zip | 80129-2486
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Country | US
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Telephone | 303-798-1110
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Fax | 303-798-3215
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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 | 876021
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License Number State | CO
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