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General NPI Number Information
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NPI Number | 1962691899
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Entity Type | Individual
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Provider Name | JILL POOLE
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Gender | Female
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Dates
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Enumeration Date | 10/16/2007
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Last Update Date | 10/16/2007
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Provider Practice Location Address
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Address Line | 700 COLORADO BLVD # 318
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City | DENVER
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State | CO
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Zip | 80206-4084
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Country | US
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Telephone | 303-339-7400
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Fax |
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Provider Business Mailing Address
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Address Line | 5064 DURHAM CT
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City | DENVER
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State | CO
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Zip | 80239-6454
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Country | US
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Telephone | 303-373-5334
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 74128
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License Number State | CO
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