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General NPI Number Information
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NPI Number | 1396241998
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Entity Type | Individual
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Provider Name | JORDYN PIERCE
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Gender | Female
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Dates
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Enumeration Date | 04/03/2018
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Last Update Date | 06/11/2023
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Provider Practice Location Address
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Address Line | 5760 E OTERO AVE
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City | ENGLEWOOD
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State | CO
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Zip | 80112-3064
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Country | US
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Telephone | 732-668-3750
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Fax |
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Provider Business Mailing Address
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Address Line | 755 ROSLYN ST UNIT 17
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City | DENVER
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State | CO
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Zip | 80230-7218
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Country | US
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Telephone | 303-884-0455
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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 | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number | 1-23-65860
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License Number State | CO
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