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General NPI Number Information
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NPI Number | 1205963287
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Entity Type | Individual
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Provider Name | JENNIFER M MEINCKE
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Gender | Female
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Dates
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Enumeration Date | 02/27/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 14701 E EXPOSITION AVE
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City | AURORA
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State | CO
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Zip | 80012-2623
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Country | US
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Telephone | 303-614-7384
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Fax |
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Provider Business Mailing Address
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Address Line | 11522 E VIRGINIA DR
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City | AURORA
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State | CO
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Zip | 80012-2252
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Country | US
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Telephone | 303-343-9279
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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 | 376K00000X
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Taxonomy Name | Nurse's Aide
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License Number |
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License Number State |
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