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NPI Code Detail

MEDICARE: PAM HRICIK

MEDICARE: PAM HRICIK
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
11041C0700XClinical Social Worker992424CO

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1790908085
Entity Type Code : Individual
Provider Name (Legal Business Name) : PAM HRICIK
Provider Business Mailing Address
First Line : 2950 TENNYSON ST
Second Line :
City : DENVER
State : CO
Zip : 80212-3029
Country : US
Telephone Number : 720-855-3346
Fax Number : 303-433-9701
Provider Business Practice Location Address
First Line : 2950 TENNYSON ST
Second Line :
City : DENVER
State : CO
Zip : 80212-3029
Country : US
Telephone Number : 720-855-3346
Fax Number : 303-433-9701
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/11/2007
Last Update Date : 03/08/2011

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Directions to “ PAM HRICIK ” Practice Location

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