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General NPI Number Information
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NPI Number | 1821476755
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Entity Type | Individual
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Provider Name | STEPHANIE ANN HOLMES OTR/L
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Gender | Female
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Dates
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Enumeration Date | 05/12/2015
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Last Update Date | 05/12/2015
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Provider Practice Location Address
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Address Line | 9032 W KEN CARYL AVE STE A-1
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City | LITTLETON
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State | CO
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Zip | 80128-5251
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Country | US
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Telephone | 303-932-1275
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Fax | 303-948-4803
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Provider Business Mailing Address
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Address Line | 23626 GENESEE VILLAGE RD
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City | GOLDEN
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State | CO
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Zip | 80401-7044
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Country | US
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Telephone | 303-993-2500
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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 | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | 0002235
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License Number State | CO
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