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General NPI Number Information
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NPI Number | 1730581794
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Entity Type | Individual
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Provider Name | JENNA RANAY SCOTT PSY.D.
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Gender | Female
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Dates
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Enumeration Date | 09/22/2014
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Last Update Date | 05/24/2024
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Provider Practice Location Address
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Address Line | 9101 E KENYON AVE STE 3200
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City | DENVER
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State | CO
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Zip | 80237-1855
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Country | US
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Telephone | 720-583-4553
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Fax |
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Provider Business Mailing Address
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Address Line | 601 16TH ST STE C
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City | GOLDEN
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State | CO
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Zip | 80401-1979
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Country | US
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Telephone | 720-583-4553
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | PSY.0004736
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License Number State | CO
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