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General NPI Number Information
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NPI Number | 1033442322
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Entity Type | Individual
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Provider Name | JAIME MICHEL
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Gender | Female
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Dates
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Enumeration Date | 09/17/2009
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Last Update Date | 06/02/2025
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Provider Practice Location Address
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Address Line | 122 HOSPITAL RD
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City | BRUSH
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State | CO
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Zip | 80723-1702
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Country | US
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Telephone | 970-842-2861
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Fax |
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Provider Business Mailing Address
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Address Line | 1006 PARK ST
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City | STERLING
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State | CO
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Zip | 80751-3754
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Country | US
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Telephone |
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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 | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | 9861469
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License Number State | ID
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Taxonomy #2
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | 0002841
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License Number State | CO
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Taxonomy #3
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | 238295
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License Number State | OR
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