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General NPI Number Information
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NPI Number | 1053021378
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Entity Type | Individual
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Provider Name | KAYLEE COPELAND
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Gender | Female
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Dates
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Enumeration Date | 11/28/2022
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Last Update Date | 11/28/2022
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Provider Practice Location Address
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Address Line | 3333 REGIS BLVD # F20
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City | DENVER
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State | CO
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Zip | 80221-8926
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Country | US
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Telephone | 559-301-5844
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Fax |
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Provider Business Mailing Address
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Address Line | 15048 E 103RD PL UNIT 310
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City | COMMERCE CITY
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State | CO
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Zip | 80022-0729
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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 | 2255A2300X
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Taxonomy Name | Athletic Trainer
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License Number |
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License Number State |
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