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General NPI Number Information
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NPI Number | 1497924450
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Entity Type | Individual
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Provider Name | JAZMIN DIAZ-HONEA DPT, OCS
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Gender | Female
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Dates
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Enumeration Date | 02/25/2008
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Last Update Date | 07/14/2025
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Provider Practice Location Address
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Address Line | 565 SPACE CENTER DR STE 130
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City | COLORADO SPRINGS
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State | CO
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Zip | 80915-3610
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Country | US
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Telephone | 719-638-5000
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Fax |
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Provider Business Mailing Address
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Address Line | 565 SPACE CENTER DR STE 130
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City | COLORADO SPRINGS
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State | CO
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Zip | 80915-3610
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Country | US
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Telephone | 719-638-5000
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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 | 2251X0800X
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Taxonomy Name | Orthopedic Physical Therapist
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License Number | 22977
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number | 2305212398
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License Number State | VA
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