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General NPI Number Information
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NPI Number | 1245213404
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Entity Type | Individual
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Provider Name | JENNIFER COLEMAN NORMAN MD
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Gender | Female
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Dates
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Enumeration Date | 11/22/2005
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Last Update Date | 11/22/2010
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Provider Practice Location Address
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Address Line | 2555 E 13TH ST STE 130
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City | LOVELAND
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State | CO
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Zip | 80537
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Country | US
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Telephone | 970-663-5437
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Fax | 970-669-5762
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Provider Business Mailing Address
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Address Line | 1627 E 18TH STREET
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City | LOVELAND
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State | CO
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Zip | 80538
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Country | US
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Telephone | 970-663-0135
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Fax | 970-461-1422
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 37955
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License Number State | CO
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