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General NPI Number Information
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NPI Number | 1851233290
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Entity Type | Individual
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Provider Name | KIANA MONIQUE PEREZ-JIMENEZ
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Gender | Female
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Dates
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Enumeration Date | 04/06/2026
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Last Update Date | 04/06/2026
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Provider Practice Location Address
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Address Line | 6255 QUEBEC PKWY
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City | COMMERCE CITY
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State | CO
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Zip | 80022-4812
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Country | US
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Telephone | 303-286-4235
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Fax |
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Provider Business Mailing Address
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Address Line | 237 GRAND LEGACY
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City | NEW BRAUNFELS
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State | TX
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Zip | 78130-0642
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Country | US
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Telephone |
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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 | 00016079
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License Number State | CO
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