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NPI 1720598121

NPI 1720598121 : JANICE LIN : WESTMINSTER, CO

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General NPI Number Information
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    NPI Number           |    1720598121
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    Entity Type          |    Individual 
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    Provider Name        |    JANICE LIN
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    10/11/2017
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    Last Update Date     |    10/11/2017
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Provider Practice Location Address
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    Address Line         |    8670 WOLFF CT 
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    City                 |    WESTMINSTER
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    State                |    CO
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    Zip                  |    80031-6956
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    Country              |    US
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    Telephone            |    303-650-1700
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    90 N CORONA ST APT 1304 
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    City                 |    DENVER
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    State                |    CO
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    Zip                  |    80218-3882
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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       |    
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    License Number State |    
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