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General NPI Number Information
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NPI Number | 1790310712
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Entity Type | Individual
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Provider Name | JEANNE MARIE HARKINS
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Gender | Female
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Dates
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Enumeration Date | 03/10/2020
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Last Update Date | 09/15/2025
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Provider Practice Location Address
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Address Line | 11920 W 13TH AVE
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City | LAKEWOOD
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State | CO
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Zip | 80401-4408
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Country | US
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Telephone | 815-558-3078
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Fax |
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Provider Business Mailing Address
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Address Line | 11920 W 13TH AVE
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City | LAKEWOOD
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State | CO
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Zip | 80401-4408
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Country | US
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Telephone | 815-558-3078
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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 | 373H00000X
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Taxonomy Name | Day Training/Habilitation Specialist
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License Number |
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License Number State | CO
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Taxonomy #2
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Taxonomy Code | 251C00000X
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Taxonomy Name | Developmentally Disabled Services Day Training Agency
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License Number |
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License Number State | CO
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Taxonomy #3
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Taxonomy Code | 347C00000X
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Taxonomy Name | Private Vehicle
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License Number |
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License Number State | CO
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Taxonomy #4
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Taxonomy Code | 103TM1800X
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Taxonomy Name | Intellectual & Developmental Disabilities Psychologist
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License Number |
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License Number State | CO
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Taxonomy #5
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Taxonomy Code | 343900000X
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Taxonomy Name | Non-emergency Medical Transport (VAN)
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License Number |
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License Number State | CO
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