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General NPI Number Information
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NPI Number | 1881392637
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Entity Type | Individual
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Provider Name | MARLENE TALAVERA
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Gender | Female
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Dates
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Enumeration Date | 02/21/2023
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Last Update Date | 02/21/2023
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Provider Practice Location Address
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Address Line | 1336 S KENDALL ST
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City | LAKEWOOD
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State | CO
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Zip | 80232-5747
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Country | US
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Telephone | 720-701-1140
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Fax |
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Provider Business Mailing Address
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Address Line | 1336 S KENDALL ST
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City | LAKEWOOD
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State | CO
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Zip | 80232-5747
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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 | 225500000X
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Taxonomy Name | Respiratory/Developmental/Rehabilitative Specialist/Technologist
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License Number | 124590
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License Number State | CO
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