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General NPI Number Information
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NPI Number | 1134503519
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Entity Type | Organization
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Legal Business Name | JAHN, LLC
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Dates
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Enumeration Date | 07/15/2015
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Last Update Date | 07/15/2015
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Provider Practice Location Address
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Address Line | 60 W MAIN ST SUITE H
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City | FRISCO
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State | CO
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Zip | 80443
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Country | US
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Telephone | 303-719-2595
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Fax | 888-288-9452
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Provider Business Mailing Address
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Address Line | 479 W COYOTE DR
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City | SILVERTHORNE
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State | CO
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Zip | 80498-9215
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Country | US
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Telephone | 970-376-2828
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Fax | 888-288-9452
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Authorized Official
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Title or Position | OWNER/CEO
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Name | JUDY HERKERT-NOTARO
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Credential | OTR/L
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Telephone | 970-376-2828
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | 0001546
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License Number State | CO
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