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General NPI Number Information
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NPI Number | 1104464007
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Entity Type | Individual
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Provider Name | JAIME COOPER OTR/L
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Gender | Female
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Dates
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Enumeration Date | 12/11/2019
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Last Update Date | 08/09/2025
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Provider Practice Location Address
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Address Line | 274 UNION BLVD STE 220
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City | LAKEWOOD
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State | CO
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Zip | 80228-1835
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Country | US
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Telephone | 720-583-6348
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Fax |
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Provider Business Mailing Address
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Address Line | 13972 W CORNELL AVE
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City | LAKEWOOD
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State | CO
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Zip | 80228-5302
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Country | US
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Telephone | 973-303-5341
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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 | 225XP0200X
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Taxonomy Name | Pediatric Occupational Therapist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | OT.0006481
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License Number State | CO
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