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NPI Code Detail

MEDICARE: REBEKAH L PASTER

MEDICARE: REBEKAH L PASTER
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1104100000XSocial Worker0009923683CO

General Provider Information

NPI Number : 1790436970
Entity Type Code : Individual
Provider Name (Legal Business Name) : REBEKAH L PASTER
Provider Business Mailing Address
First Line : 12954 W ILIFF AVE # 108
Second Line :
City : LAKEWOOD
State : CO
Zip : 80228-4336
Country : US
Telephone Number : 303-954-4052
Fax Number : 303-399-8010
Provider Business Practice Location Address
First Line : 1490 N LAFAYETTE ST
Second Line :
City : DENVER
State : CO
Zip : 80218-2339
Country : US
Telephone Number : 303-954-4052
Fax Number : 303-399-8010
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/10/2022
Last Update Date : 01/10/2022

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Directions to “ REBEKAH L PASTER ” Practice Location

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