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General NPI Number Information
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NPI Number | 1023486156
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Entity Type | Individual
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Provider Name | PAUL BURANT ATC, PT, DPT
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Gender | Male
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Dates
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Enumeration Date | 09/06/2015
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Last Update Date | 06/09/2018
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Provider Practice Location Address
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Address Line | 13655 BRONCOS PKWY
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City | ENGLEWOOD
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State | CO
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Zip | 80112
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Country | US
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Telephone | 414-349-5452
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Fax |
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Provider Business Mailing Address
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Address Line | N56W30676 COUNTY ROAD K
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City | HARTLAND
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State | WI
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Zip | 53029-1014
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State | CO
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Taxonomy #2
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Taxonomy Code | 2255A2300X
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Taxonomy Name | Athletic Trainer
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License Number |
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License Number State | CO
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