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General NPI Number Information
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NPI Number | 1003634668
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Entity Type | Individual
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Provider Name | AGLEGRA ULIBARRI
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Gender | Female
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Dates
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Enumeration Date | 10/01/2024
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Last Update Date | 10/01/2024
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Provider Practice Location Address
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Address Line | 1925 BLAKE ST STE 200
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City | DENVER
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State | CO
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Zip | 80202-1289
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Country | US
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Telephone | 720-316-8322
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Fax | 719-465-5280
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Provider Business Mailing Address
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Address Line | 951 20TH ST P.O. BOX 13096
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City | DENVER
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State | CO
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Zip | 80202-9998
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Country | US
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Telephone | 720-316-8322
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Fax | 719-465-5280
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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 | 106S00000X
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Taxonomy Name | Behavior Technician
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License Number |
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License Number State |
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