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General NPI Number Information
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NPI Number | 1659632040
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Entity Type | Individual
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Provider Name | JAIME LYNN FELL PA-C
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Gender | Female
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Dates
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Enumeration Date | 06/02/2012
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Last Update Date | 06/02/2012
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Provider Practice Location Address
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Address Line | 9235 CROWN CREST BLVD 100
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City | PARKER
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State | CO
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Zip | 80138-8880
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Country | US
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Telephone | 303-695-7667
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Fax | 303-695-8146
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Provider Business Mailing Address
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Address Line | 9235 CROWN CREST BLVD 100
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City | PARKER
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State | CO
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Zip | 80138-8880
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Country | US
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Telephone | 303-695-7667
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Fax | 303-695-8146
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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 | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | 1758
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License Number State | CO
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