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General NPI Number Information
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NPI Number | 1750787917
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Entity Type | Individual
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Provider Name | JEN IRENE KRESS PSYD
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Gender | Female
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Dates
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Enumeration Date | 11/14/2014
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Last Update Date | 08/19/2024
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Provider Practice Location Address
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Address Line | 9085 E MINERAL CIR STE 235
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City | CENTENNIAL
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State | CO
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Zip | 80112-3400
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Country | US
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Telephone | 720-984-2577
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Fax |
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Provider Business Mailing Address
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Address Line | 6875 E ILIFF AVE APT 225
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City | DENVER
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State | CO
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Zip | 80224-2546
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Country | US
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Telephone | 214-549-7917
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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 | PSY5272
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License Number State | CO
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