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General NPI Number Information
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NPI Number | 1043210693
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Entity Type | Organization
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Legal Business Name | FORT COLLINS THERAPY SERVICES LLC
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Dates
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Enumeration Date | 07/26/2005
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Last Update Date | 01/05/2021
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Provider Practice Location Address
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Address Line | 3780 N GARFIELD AVE STE 102
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City | LOVELAND
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State | CO
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Zip | 80538-2237
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Country | US
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Telephone | 970-663-3222
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Fax | 970-663-3227
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Provider Business Mailing Address
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Address Line | 3780 N GARFIELD AVE STE 102
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City | LOVELAND
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State | CO
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Zip | 80538-2237
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Country | US
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Telephone | 970-663-3222
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Fax | 970-663-3227
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Authorized Official
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Title or Position | SPEECH LANGUAGE PATHOLOGIST
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Name | MS. MARY L NEL
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Credential | MS,CCC/SLP
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Telephone | 970-663-3222
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number |
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License Number State |
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