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General NPI Number Information
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NPI Number | 1942452727
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Entity Type | Individual
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Provider Name | JULIANNE LENORA COOPER OTR
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Gender | Female
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Dates
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Enumeration Date | 10/13/2008
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Last Update Date | 03/16/2009
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Provider Practice Location Address
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Address Line | 2480 S CLERMONT ST
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City | DENVER
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State | CO
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Zip | 80222-6512
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Country | US
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Telephone | 303-596-5447
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Fax |
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Provider Business Mailing Address
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Address Line | 300 W 11TH AVE UNIT 9G
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City | DENVER
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State | CO
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Zip | 80204-3662
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Country | US
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Telephone | 303-596-5447
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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 | 1047805
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License Number State | CO
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