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General NPI Number Information
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NPI Number | 1063337848
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Entity Type | Individual
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Provider Name | CHARLOTTE JACKLYN RUIZ DE VELASCO
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Gender | Female
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Dates
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Enumeration Date | 08/11/2026
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Last Update Date | 08/11/2026
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Provider Practice Location Address
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Address Line | 3355 DENARGO ST UNIT 655
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City | DENVER
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State | CO
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Zip | 80216-5365
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Country | US
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Telephone | 303-229-2162
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Fax |
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Provider Business Mailing Address
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Address Line | 3355 DENARGO ST UNIT 655
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City | DENVER
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State | CO
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Zip | 80216-5365
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Country | US
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Telephone | 303-229-2162
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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 | 237700000X
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Taxonomy Name | Hearing Instrument Specialist
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License Number | HAD.0000576
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License Number State | CO
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