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General NPI Number Information
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NPI Number | 1700411584
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Entity Type | Individual
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Provider Name | ALEXIS COOK OTR
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Gender | Female
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Dates
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Enumeration Date | 03/11/2020
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Last Update Date | 07/16/2024
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Provider Practice Location Address
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Address Line | 7720 E BELLEVIEW AVE STE BG106
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City | GREENWOOD VILLAGE
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State | CO
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Zip | 80111-2677
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Country | US
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Telephone | 303-360-0727
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Fax |
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Provider Business Mailing Address
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Address Line | 2625 S HUMBOLDT ST
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City | DENVER
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State | CO
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Zip | 80210-5926
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Country | US
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Telephone | 478-279-0459
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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 | OT0008256
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License Number State | CO
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