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General NPI Number Information
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NPI Number | 1851435556
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Entity Type | Individual
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Provider Name | JACQUELYN F COBB R.N. CDE
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Gender | Female
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Dates
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Enumeration Date | 02/16/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 2500 S HAVANA ST
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City | AURORA
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State | CO
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Zip | 80014-1618
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Country | US
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Telephone | 303-764-4739
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Fax |
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Provider Business Mailing Address
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Address Line | 20152 E BATAVIA DR
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City | AURORA
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State | CO
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Zip | 80011-5424
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Country | US
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Telephone | 720-216-0030
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Fax | 303-861-3605
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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 | 163WI0600X
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Taxonomy Name | Infection Control Registered Nurse
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License Number | 83259
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License Number State | CO
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