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General NPI Number Information
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NPI Number | 1225309081
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Entity Type | Organization
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Legal Business Name | JEFFERSON COUNTY PUBLIC HEALTH
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Dates
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Enumeration Date | 01/25/2012
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Last Update Date | 01/26/2012
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Provider Practice Location Address
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Address Line | 260 KIPLING STREET
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City | LAKEWOOD
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State | CO
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Zip | 80226
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Country | US
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Telephone | 303-239-7032
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Fax |
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Provider Business Mailing Address
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Address Line | 8165 CODY CT
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City | ARVADA
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State | CO
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Zip | 80005-2420
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Country | US
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Telephone | 702-513-2452
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Fax |
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Authorized Official
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Title or Position | RN - CHS
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Name | MISS MARICLAR VIZCARRA OSORIO
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Credential | RN
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Telephone | 303-239-7032
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP0905X
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Taxonomy Name | State or Local Public Health Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QC1500X
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Taxonomy Name | Community Health Clinic/Center
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License Number |
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License Number State |
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