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General NPI Number Information
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NPI Number | 1518357144
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Entity Type | Organization
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Legal Business Name | DAWNLIGHT ENTERPRISES, INC.
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Dates
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Enumeration Date | 02/03/2015
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Last Update Date | 02/03/2015
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Provider Practice Location Address
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Address Line | 5950 S WILLOW DR SUITE 200
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City | GREENWOOD VILLAGE
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State | CO
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Zip | 80111-5170
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Country | US
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Telephone | 303-630-9603
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Fax |
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Provider Business Mailing Address
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Address Line | 12611 W 6TH DR
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City | LAKEWOOD
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State | CO
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Zip | 80401-4621
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | JYOTI JASON-MILLER
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Credential | LMT
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Telephone | 303-630-9603
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225700000X
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Taxonomy Name | Massage Therapist
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License Number | MT.0006881
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License Number State | CO
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