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General NPI Number Information
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NPI Number | 1063302800
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Entity Type | Individual
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Provider Name | MRS. JENNA NIMS
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Gender | Female
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Dates
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Enumeration Date | 07/03/2025
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Last Update Date | 07/07/2025
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Provider Practice Location Address
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Address Line | 1802 CHAPEL HILLS DR STE A
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City | COLORADO SPRINGS
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State | CO
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Zip | 80920-3736
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Country | US
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Telephone | 719-330-5114
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Fax |
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Provider Business Mailing Address
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Address Line | 3255 MONTEBELLO DR W
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City | COLORADO SPRINGS
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State | CO
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Zip | 80918-2230
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Country | US
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Telephone | 719-301-9995
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number |
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License Number State |
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