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General NPI Number Information
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NPI Number | 1205727955
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Entity Type | Individual
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Provider Name | JESSICA STOUGHTON
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Gender | Female
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Dates
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Enumeration Date | 07/11/2025
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Last Update Date | 07/11/2025
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Provider Practice Location Address
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Address Line | 3000 S JAMAICA CT
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City | AURORA
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State | CO
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Zip | 80014-4600
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Country | US
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Telephone | 720-767-3678
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Fax |
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Provider Business Mailing Address
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Address Line | 2200 N URSULA ST APT 5-101
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City | AURORA
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State | CO
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Zip | 80045-7600
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Country | US
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Telephone | 435-260-9502
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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 | 225700000X
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Taxonomy Name | Massage Therapist
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License Number | MT.0018328
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License Number State | CO
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