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General NPI Number Information
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NPI Number | 1649575184
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Entity Type | Individual
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Provider Name | MRS. JENNIFER ANN KNOX
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Gender | Female
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Dates
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Enumeration Date | 01/13/2011
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Last Update Date | 01/13/2011
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Provider Practice Location Address
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Address Line | 1551 PROFESSIONAL LN SUITE 145
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City | LONGMONT
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State | CO
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Zip | 80501-6972
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Country | US
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Telephone | 720-494-3290
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Fax | 720-494-3294
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Provider Business Mailing Address
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Address Line | 1551 PROFESSIONAL LA SUITE 145
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City | LONGMONT
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State | CO
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Zip | 80501
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Country | US
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Telephone | 720-494-3290
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Fax | 720-494-3294
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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 | 225000000X
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Taxonomy Name | Orthotic Fitter
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License Number |
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License Number State | CO
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Taxonomy #2
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Taxonomy Code | 225700000X
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Taxonomy Name | Massage Therapist
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License Number |
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License Number State | CO
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Taxonomy #3
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number |
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License Number State | CO
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Taxonomy #4
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Taxonomy Code | 225XH1200X
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Taxonomy Name | Hand Occupational Therapist
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License Number |
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License Number State | CO
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Taxonomy #5
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number |
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License Number State | CO
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