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NPI 1053472787

NPI 1053472787 : JILL ANNETTE STRANDQUIST OTR : BRECKENRIDGE, CO

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General NPI Number Information
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    NPI Number           |    1053472787
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    Entity Type          |    Individual 
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    Provider Name        |    JILL ANNETTE STRANDQUIST OTR
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    12/13/2006
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    Last Update Date     |    09/11/2025
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Provider Practice Location Address
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    Address Line         |    0237 GOLDENVIEW DRIVE 
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    City                 |    BRECKENRIDGE
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    State                |    CO
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    Zip                  |    80424
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    Country              |    US
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    Telephone            |    970-547-1288
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    Fax                  |    970-547-1289
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Provider Business Mailing Address
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    Address Line         |    PO BOX 6246 
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    City                 |    BRECKENRIDGE
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    State                |    CO
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    Zip                  |    80424
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    Country              |    US
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    Telephone            |    970-547-1288
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    Fax                  |    970-547-1289
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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       |    AA238451
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    License Number State |    
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Taxonomy #2
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    Taxonomy Code        |    225XP0200X
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    Taxonomy Name        |    Pediatric Occupational Therapist
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    License Number       |    AA238451
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    License Number State |    
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