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General NPI Number Information
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NPI Number | 1750418737
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Entity Type | Individual
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Provider Name | JANE A KERZEE
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Gender | Female
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Dates
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Enumeration Date | 02/27/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 2955 S BROADWAY
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City | ENGLEWOOD
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State | CO
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Zip | 80113-1526
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Country | US
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Telephone | 303-788-1164
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Fax |
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Provider Business Mailing Address
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Address Line | 27685 STAGECOACH RD
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City | CONIFER
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State | CO
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Zip | 80433-7237
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Country | US
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Telephone | 303-318-9520
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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 | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | 16011
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License Number State | CO
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