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General NPI Number Information
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NPI Number | 1316161490
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Entity Type | Individual
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Provider Name | JENNIFER LEA DAVIES LAC, NCMT
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Gender | Female
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Dates
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Enumeration Date | 04/12/2007
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Last Update Date | 07/22/2025
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Provider Practice Location Address
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Address Line | 6650 S VINE ST STE 250
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City | CENTENNIAL
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State | CO
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Zip | 80121-2740
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Country | US
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Telephone | 720-629-4211
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Fax |
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Provider Business Mailing Address
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Address Line | 6705 S PENROSE CT
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City | CENTENNIAL
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State | CO
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Zip | 80122-1255
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Country | US
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Telephone | 720-629-4211
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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 | 225700000X
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Taxonomy Name | Massage Therapist
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License Number | 0001747
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License Number State | CO
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Taxonomy #2
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Taxonomy Code | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | 0002125
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License Number State | CO
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