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General NPI Number Information
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NPI Number | 1609211762
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Entity Type | Individual
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Provider Name | HEATHER RIEBOLDT OTR
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Gender | Female
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Dates
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Enumeration Date | 05/02/2013
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Last Update Date | 05/02/2013
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Provider Practice Location Address
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Address Line | 1685 EATON ST
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City | LAKEWOOD
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State | CO
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Zip | 80214-1628
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Country | US
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Telephone | 303-232-4405
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Fax |
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Provider Business Mailing Address
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Address Line | 4300 QUITMAN ST
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City | DENVER
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State | CO
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Zip | 80212-2324
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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 |
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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 | 723
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License Number State | CO
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