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NPI 1366858177

NPI 1366858177 : JESSICA RAE COX DO, PHD : ENGLEWOOD, CO

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General NPI Number Information
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    NPI Number           |    1366858177
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    Entity Type          |    Individual 
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    Provider Name        |    JESSICA RAE COX DO, PHD
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    07/01/2014
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    Last Update Date     |    12/09/2022
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Provider Practice Location Address
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    Address Line         |    10800 E GEDDES AVE STE 300 
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    City                 |    ENGLEWOOD
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    State                |    CO
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    Zip                  |    80112-3895
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    Country              |    US
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    Telephone            |    303-761-9190
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    Fax                  |    720-874-4462
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Provider Business Mailing Address
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    Address Line         |    10800 E GEDDES AVE STE 300 
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    City                 |    ENGLEWOOD
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    State                |    CO
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    Zip                  |    80112-3895
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    Country              |    US
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    Telephone            |    303-761-9190
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    Fax                  |    720-874-4462
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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        |    2085R0202X
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    Taxonomy Name        |    Diagnostic Radiology Physician
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    License Number       |    05-42146
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    License Number State |    KS
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Taxonomy #2
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    Taxonomy Code        |    2085R0202X
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    Taxonomy Name        |    Diagnostic Radiology Physician
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    License Number       |    2011
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    License Number State |    NE
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Taxonomy #3
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    Taxonomy Code        |    2085R0202X
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    Taxonomy Name        |    Diagnostic Radiology Physician
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    License Number       |    DOS-1974
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    License Number State |    HI
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Taxonomy #4
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    Taxonomy Code        |    390200000X
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    Taxonomy Name        |    Student in an Organized Health Care Education/Training Program
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    License Number       |    TL.0005246
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    License Number State |    CO
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Taxonomy #5
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    Taxonomy Code        |    2085R0202X
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    Taxonomy Name        |    Diagnostic Radiology Physician
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    License Number       |    61739
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    License Number State |    CO
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