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General NPI Number Information
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NPI Number | 1568740462
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Entity Type | Individual
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Provider Name | JEFF NEPUTE PH.D.
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Gender | Male
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Dates
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Enumeration Date | 07/26/2011
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Last Update Date | 03/17/2018
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Provider Practice Location Address
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Address Line | 8031 CAMPUS DELIVERY
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City | FORT COLLINS
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State | CO
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Zip | 80523-1876
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Country | US
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Telephone | 970-491-3649
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Fax |
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Provider Business Mailing Address
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Address Line | 161 W. LAKE ST. 8031 CAMPUS DELIVERY
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City | FORT COLLINS
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State | CO
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Zip | 80523-8031
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Country | US
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Telephone | 970-491-3649
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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 | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 0004400
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License Number State | CO
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Taxonomy #2
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number | PSY0004400
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License Number State | CO
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