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General NPI Number Information
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NPI Number | 1275861213
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Entity Type | Individual
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Provider Name | LEE ANN BRENTLINGER L.AC., DIPL.AC, LMT
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Gender | Female
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Dates
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Enumeration Date | 12/03/2009
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Last Update Date | 04/09/2015
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Provider Practice Location Address
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Address Line | 10465 MELODY DR MERIDIAN THERAPY STUDIO, LLC - SUITE 203
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City | NORTHGLENN
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State | CO
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Zip | 80234-4119
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Country | US
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Telephone | 303-847-5250
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Fax | 720-484-5870
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Provider Business Mailing Address
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Address Line | 10465 MELODY DR MERIDIAN THERAPY STUDIO, LLC - SUITE 203
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City | NORTHGLENN
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State | CO
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Zip | 80234-4119
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Country | US
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Telephone | 303-847-5250
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Fax | 720-484-5870
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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 | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | 1649
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License Number State | CO
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Taxonomy #2
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Taxonomy Code | 225700000X
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Taxonomy Name | Massage Therapist
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License Number | MT0011263
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License Number State | CO
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