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General NPI Number Information
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NPI Number | 1538960232
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Entity Type | Individual
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Provider Name | ELLEN KYRIAKOS
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Gender | Female
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Dates
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Enumeration Date | 03/20/2025
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Last Update Date | 03/20/2025
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Provider Practice Location Address
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Address Line | 720 S COLORADO BLVD STE 150
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City | DENVER
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State | CO
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Zip | 80246-1904
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Country | US
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Telephone | 720-542-8737
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Fax | 720-242-8085
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Provider Business Mailing Address
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Address Line | 2821 S PARKER RD STE 615
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City | AURORA
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State | CO
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Zip | 80014-2711
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Country | US
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Telephone | 720-542-8737
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Fax | 720-242-8085
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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 | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | OT.0008756
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License Number State | CO
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