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General NPI Number Information
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NPI Number | 1962760702
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Entity Type | Individual
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Provider Name | MICHAELE DENT
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Gender | Female
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Dates
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Enumeration Date | 04/30/2012
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Last Update Date | 11/07/2024
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Provider Practice Location Address
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Address Line | 622 28 1/4 RD
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City | GRAND JUNCTION
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State | CO
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Zip | 81506-6018
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Country | US
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Telephone | 970-254-1233
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Fax |
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Provider Business Mailing Address
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Address Line | 641 24 3/4 RD
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City | GRAND JUNCTION
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State | CO
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Zip | 81505-1522
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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 | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | 5104
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License Number State | AZ
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Taxonomy #2
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | 4008
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License Number State | CO
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