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General NPI Number Information
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NPI Number | 1225925985
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Entity Type | Individual
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Provider Name | ILEANA ASHLEY HERRIN OTR
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Gender | Female
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Dates
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Enumeration Date | 06/23/2025
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Last Update Date | 06/23/2025
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Provider Practice Location Address
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Address Line | 1371 HECLA DR STE D130
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City | LOUISVILLE
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State | CO
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Zip | 80027-2318
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Country | US
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Telephone | 303-936-5582
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Fax |
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Provider Business Mailing Address
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Address Line | 2854 ARAPAHOE RD # 4-305
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City | LAFAYETTE
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State | CO
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Zip | 80026-8048
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Country | US
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Telephone | 832-752-5902
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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 | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | OT.0008877
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License Number State | CO
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