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General NPI Number Information
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NPI Number | 1063270650
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Entity Type | Individual
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Provider Name | CLAUDIA PENA LMT
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Gender | Female
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Dates
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Enumeration Date | 03/08/2024
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Last Update Date | 03/08/2024
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Provider Practice Location Address
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Address Line | 726 RAILROAD AVE
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City | RIFLE
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State | CO
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Zip | 81650-3552
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Country | US
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Telephone | 970-625-1129
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Fax | 970-625-1131
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Provider Business Mailing Address
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Address Line | 5033 COUNTY ROAD 335 TRLR 208
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City | NEW CASTLE
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State | CO
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Zip | 81647-9648
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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 | 225700000X
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Taxonomy Name | Massage Therapist
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License Number | 6350
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License Number State | CO
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