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General NPI Number Information
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NPI Number | 1356567036
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Entity Type | Individual
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Provider Name | NICOLE HELENE VERRETT OTR-L
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Gender | Female
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Dates
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Enumeration Date | 04/18/2007
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Last Update Date | 06/11/2024
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Provider Practice Location Address
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Address Line | 22195 E LAKE AVE
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City | CENTENNIAL
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State | CO
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Zip | 80015-4578
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Country | US
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Telephone | 720-446-1885
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Fax | 720-552-5598
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Provider Business Mailing Address
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Address Line | 295 ONEIDA ST
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City | DENVER
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State | CO
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Zip | 80220-6024
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Country | US
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Telephone | 609-784-4294
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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 | 225XP0200X
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Taxonomy Name | Pediatric Occupational Therapist
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License Number | .0007509
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License Number State | CO
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