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General NPI Number Information
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NPI Number | 1972439610
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Entity Type | Individual
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Provider Name | MARY JAYNE KITCHENS RN
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Gender | Female
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Dates
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Enumeration Date | 06/22/2026
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Last Update Date | 06/22/2026
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Provider Practice Location Address
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Address Line | 515 28 3/4 RD BLDG A
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City | GRAND JUNCTION
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State | CO
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Zip | 81501-5016
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Country | US
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Telephone | 970-270-5795
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Fax | 970-243-8631
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Provider Business Mailing Address
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Address Line | 2915 1/2 FORMAY AVE
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City | GRAND JUNCTION
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State | CO
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Zip | 81504-5339
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Country | US
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Telephone | 970-640-8477
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Fax | 970-640-8477
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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 | 163WP0808X
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Taxonomy Name | Psychiatric/Mental Health Registered Nurse
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License Number | RN.0097699
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License Number State | CO
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Taxonomy #2
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | RN.0097699
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License Number State | CO
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