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General NPI Number Information
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NPI Number | 1063782852
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Entity Type | Individual
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Provider Name | JACQUELINE LEE BERENS D.C.
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Gender | Female
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Dates
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Enumeration Date | 01/10/2012
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Last Update Date | 10/24/2017
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Provider Practice Location Address
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Address Line | 8 INVERNESS DR E STE 260
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City | ENGLEWOOD
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State | CO
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Zip | 80112-5656
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Country | US
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Telephone | 303-668-2103
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Fax |
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Provider Business Mailing Address
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Address Line | 8 INVERNESS DR E STE 260
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City | ENGLEWOOD
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State | CO
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Zip | 80112-5656
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Country | US
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Telephone | 303-668-2103
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | CHR-6796
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License Number State | CO
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Taxonomy #2
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 0006796
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License Number State | CO
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