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General NPI Number Information
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NPI Number | 1093625790
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Entity Type | Individual
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Provider Name | SUMMER ALEXUS KIMBLE-JENNINGS
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Gender | Female
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Dates
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Enumeration Date | 09/08/2026
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Last Update Date | 09/08/2026
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Provider Practice Location Address
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Address Line | 6203 S LEMAY AVE
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City | FORT COLLINS
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State | CO
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Zip | 80525-9436
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Country | US
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Telephone | 720-295-3790
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Fax |
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Provider Business Mailing Address
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Address Line | 1702 KAREN CT
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City | LOVELAND
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State | CO
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Zip | 80537-7143
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Country | US
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Telephone | 970-744-9358
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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 | 106S00000X
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Taxonomy Name | Behavior Technician
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License Number |
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License Number State |
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