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General NPI Number Information
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NPI Number | 1114879764
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Entity Type | Individual
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Provider Name | JASMINE SHARON CROCKETT
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Gender | Female
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Dates
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Enumeration Date | 02/13/2026
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Last Update Date | 02/13/2026
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Provider Practice Location Address
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Address Line | 333 W HAMPDEN AVE STE 700
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City | ENGLEWOOD
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State | CO
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Zip | 80110-2337
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Country | US
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Telephone | 303-309-2354
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Fax |
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Provider Business Mailing Address
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Address Line | 7459 S ALKIRE ST APT 304
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City | LITTLETON
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State | CO
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Zip | 80127-3280
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Country | US
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Telephone | 720-320-7233
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number | 0023615
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License Number State | CO
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