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General NPI Number Information
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NPI Number | 1003366683
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Entity Type | Individual
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Provider Name | JENNIFER NARBY LCMT
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Gender | Female
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Dates
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Enumeration Date | 10/07/2016
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Last Update Date | 11/01/2016
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Provider Practice Location Address
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Address Line | 21 MONTEBELLO RD
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City | PUEBLO
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State | CO
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Zip | 81001-1236
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Country | US
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Telephone | 719-546-0037
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Fax |
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Provider Business Mailing Address
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Address Line | 524 TYLER ST
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City | PUEBLO
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State | CO
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Zip | 81004-1453
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Country | US
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Telephone | 607-329-0370
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number | MT.0014869
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License Number State | CO
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