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General NPI Number Information
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NPI Number | 1144756537
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Entity Type | Individual
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Provider Name | VIRGINIA NIGHT
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Gender | Female
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Dates
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Enumeration Date | 05/04/2017
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Last Update Date | 08/16/2018
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Provider Practice Location Address
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Address Line | 1259 S QUAIL ST
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City | LAKEWOOD
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State | CO
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Zip | 80232
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Country | US
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Telephone | 720-436-8441
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Fax |
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Provider Business Mailing Address
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Address Line | 1259 S QUAIL ST
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City | LAKEWOOD
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State | CO
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Zip | 80232-4933
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Country | US
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Telephone | 720-436-8441
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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 | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | OT18886
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License Number State | CA
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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 | 3833
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License Number State | NM
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Taxonomy #3
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | 354751
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License Number State | OR
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Taxonomy #4
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | OT-1262
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License Number State | WY
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Taxonomy #5
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | OT-0004591
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License Number State | CO
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