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General NPI Number Information
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NPI Number | 1184762775
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Entity Type | Individual
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Provider Name | JENNIFER PEARSON PA
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Gender | Female
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Dates
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Enumeration Date | 02/03/2007
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Last Update Date | 02/28/2025
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Provider Practice Location Address
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Address Line | 13111 E BRIARWOOD AVE STE 215
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City | CENTENNIAL
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State | CO
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Zip | 80112-3846
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Country | US
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Telephone | 303-680-9150
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Fax | 303-680-9149
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Provider Business Mailing Address
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Address Line | 13111 E BRIARWOOD AVE STE 215
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City | CENTENNIAL
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State | CO
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Zip | 80112-3846
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Country | US
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Telephone | 303-680-9150
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Fax | 303-680-9149
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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 | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number |
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License Number State | CO
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