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General NPI Number Information
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NPI Number | 1356763858
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Entity Type | Organization
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Legal Business Name | JEFFERSON COUNTY PUBLIC HEALTH
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Dates
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Enumeration Date | 01/17/2014
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Last Update Date | 01/17/2014
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Provider Practice Location Address
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Address Line | 260 S KIPLING ST
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City | LAKEWOOD
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State | CO
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Zip | 80226-1086
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Country | US
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Telephone | 303-275-7583
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Fax |
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Provider Business Mailing Address
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Address Line | 260 S KIPLING ST
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City | LAKEWOOD
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State | CO
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Zip | 80226-1086
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PHN
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Name | CORTNEY M CHRISTENSEN
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Credential | RN
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Telephone | 303-275-7583
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251K00000X
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Taxonomy Name | Public Health or Welfare Agency
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License Number | 1620721
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License Number State | CO
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