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General NPI Number Information
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NPI Number | 1528931169
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Entity Type | Individual
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Provider Name | ALEXIS HABALA
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Gender | Female
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Dates
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Enumeration Date | 09/29/2025
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Last Update Date | 09/29/2025
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Provider Practice Location Address
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Address Line | 1325 S COLORADO BLVD BLDG B
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City | DENVER
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State | CO
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Zip | 80222-3303
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Country | US
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Telephone | 303-427-5020
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Fax |
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Provider Business Mailing Address
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Address Line | 1183 S ALTON ST UNIT B
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City | DENVER
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State | CO
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Zip | 80247-7930
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Country | US
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Telephone | 817-917-3930
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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 | 225XN1300X
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Taxonomy Name | Neurorehabilitation Occupational Therapist
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License Number | OT.0008483
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License Number State | CO
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