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General NPI Number Information
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NPI Number | 1427277995
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Entity Type | Organization
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Legal Business Name | BRAINARD AGENCY INC
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Dates
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Enumeration Date | 04/24/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1745 SHEA CENTER DR STE 400
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City | HIGHLANDS RANCH
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State | CO
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Zip | 80129-1540
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Country | US
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Telephone | 720-344-5135
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Fax |
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Provider Business Mailing Address
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Address Line | 1745 SHEA CENTER DR STE 400
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City | HIGHLANDS RANCH
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State | CO
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Zip | 80129-1540
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Country | US
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Telephone | 720-344-5135
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Fax |
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Authorized Official
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Title or Position | OCCUPATIONAL THERAPIST
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Name | KRISTEN BRAINARD
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Credential | OTR
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Telephone | 303-522-6497
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 1044047
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License Number State | MO
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