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NPI 1225242589

NPI 1225242589 : NICOLE M CRIPPEN OTR : LITTLETON, CO

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General NPI Number Information
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    NPI Number           |    1225242589
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    Entity Type          |    Individual 
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    Provider Name        |    NICOLE M CRIPPEN OTR
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    05/09/2007
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    Last Update Date     |    02/03/2016
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Provider Practice Location Address
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    Address Line         |    5409 S GARRISON ST 
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    City                 |    LITTLETON
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    State                |    CO
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    Zip                  |    80123-7403
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    Country              |    US
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    Telephone            |    303-345-8688
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    5409 S GARRISON ST 
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    City                 |    LITTLETON
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    State                |    CO
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    Zip                  |    80123-7403
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    Country              |    US
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    Telephone            |    303-345-8688
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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        |    225XP0200X
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    Taxonomy Name        |    Pediatric Occupational Therapist
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    License Number       |    1013920
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    License Number State |    CO
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