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General NPI Number Information
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NPI Number | 1417963943
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Entity Type | Individual
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Provider Name | HARRIS ROBERT JENSEN MD
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Gender | Male
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Dates
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Enumeration Date | 08/01/2006
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Last Update Date | 02/04/2026
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Provider Practice Location Address
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Address Line | 1019 REMINGTON ST
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City | FORT COLLINS
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State | CO
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Zip | 80524-3711
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Country | US
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Telephone | 970-416-8354
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Fax | 970-416-0354
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Provider Business Mailing Address
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Address Line | 1019 REMINGTON ST
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City | FORT COLLINS
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State | CO
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Zip | 80524-3711
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Country | US
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Telephone | 970-416-8354
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Fax | 970-416-0354
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 35307
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License Number State | CO
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