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General NPI Number Information
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NPI Number | 1104295104
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Entity Type | Individual
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Provider Name | JAMIE M HENRY NP
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Gender | Female
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Dates
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Enumeration Date | 09/20/2015
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Last Update Date | 10/16/2019
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Provider Practice Location Address
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Address Line | 7780 S BROADWAY STE 350
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City | LITTLETON
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State | CO
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Zip | 80122-2641
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Country | US
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Telephone | 720-638-7500
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Fax | 720-583-6770
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Provider Business Mailing Address
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Address Line | PO BOX 5693
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City | DENVER
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State | CO
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Zip | 80217-5693
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Country | US
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Telephone | 303-306-7783
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Fax | 303-306-7753
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | R188831
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | C-APN.0000575-C-NP
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License Number State | CO
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Taxonomy #3
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | R188831
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License Number State | MD
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Taxonomy #4
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | AC001927
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License Number State | MD
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Taxonomy #5
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | APN.0992701-NP
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License Number State | CO
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