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General NPI Number Information
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NPI Number | 1023744273
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Entity Type | Organization
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Legal Business Name | LOTUS CORE PHYSICAL THERAPY, PLLC
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Dates
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Enumeration Date | 07/29/2022
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Last Update Date | 07/29/2022
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Provider Practice Location Address
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Address Line | 770 W HAMPDEN AVE STE 105
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City | ENGLEWOOD
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State | CO
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Zip | 80110-2207
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Country | US
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Telephone | 407-791-1578
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Fax |
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Provider Business Mailing Address
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Address Line | 3126 S LINCOLN ST
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City | ENGLEWOOD
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State | CO
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Zip | 80113-2536
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Country | US
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Telephone | 407-791-1578
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Fax |
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Authorized Official
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Title or Position | PHYSICAL THERAPIST/OWNER
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Name | DR. SUSAN MILLER
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Credential | PT, DPT
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Telephone | 407-791-1578
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number |
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License Number State |
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