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General NPI Number Information
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NPI Number | 1730597220
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Entity Type | Individual
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Provider Name | JENA CELLA PA
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Gender | Female
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Dates
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Enumeration Date | 07/28/2014
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Last Update Date | 10/21/2022
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Provider Practice Location Address
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Address Line | 9197 GRANT ST SUITE 200
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City | THORNTON
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State | CO
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Zip | 80229-4329
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Country | US
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Telephone | 303-450-3690
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Fax | 303-450-3699
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Provider Business Mailing Address
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Address Line | 9197 GRANT ST SUITE 200
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City | THORNTON
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State | CO
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Zip | 80229-4329
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Country | US
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Telephone | 303-450-3690
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Fax | 303-450-3699
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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 | PA.0004018
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License Number State | CO
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