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General NPI Number Information
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NPI Number | 1295680395
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Entity Type | Individual
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Provider Name | JAYLYNN MARISSA HEFFER
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Gender | Female
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Dates
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Enumeration Date | 03/03/2026
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Last Update Date | 03/03/2026
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Provider Practice Location Address
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Address Line | 413 SUMMIT BLVD UNIT 204
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City | BROOMFIELD
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State | CO
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Zip | 80021-8295
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Country | US
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Telephone | 303-284-9802
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Fax |
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Provider Business Mailing Address
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Address Line | 5747 S LOWELL BLVD
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City | LITTLETON
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State | CO
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Zip | 80123-2847
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Country | US
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Telephone | 505-933-1913
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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 | 146L00000X
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Taxonomy Name | Paramedic
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License Number | Q241661
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License Number State | CO
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