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General NPI Number Information
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NPI Number | 1225793581
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Entity Type | Individual
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Provider Name | SENAIDA ALEXIS DE LA O
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Gender | Female
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Dates
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Enumeration Date | 11/02/2021
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Last Update Date | 11/02/2021
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Provider Practice Location Address
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Address Line | 1801 W 13TH AVE
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City | DENVER
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State | CO
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Zip | 80204-2407
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Country | US
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Telephone | 800-805-6989
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Fax |
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Provider Business Mailing Address
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Address Line | 5558 WORCHESTER ST
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City | DENVER
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State | CO
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Zip | 80239-3726
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Country | US
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Telephone |
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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 | 164W00000X
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Taxonomy Name | Licensed Practical Nurse
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License Number | 0336934
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License Number State | CO
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