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General NPI Number Information
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NPI Number | 1063625937
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Entity Type | Organization
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Legal Business Name | NEXT LEVEL PHYSICAL THERAPY PC
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Dates
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Enumeration Date | 05/08/2007
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Last Update Date | 10/15/2021
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Provider Practice Location Address
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Address Line | 4670 TABLE MOUNTAIN DR
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City | GOLDEN
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State | CO
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Zip | 80403-1602
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Country | US
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Telephone | 303-279-6000
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Fax | 303-279-7799
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Provider Business Mailing Address
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Address Line | 4670 TABLE MOUNTAIN DR
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City | GOLDEN
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State | CO
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Zip | 80403-1602
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Country | US
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Telephone | 303-279-6000
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Fax | 303-279-7799
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Authorized Official
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Title or Position | OWNER
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Name | JOSEPH BRYANT
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Credential | DPT, OCS
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Telephone | 303-279-6000
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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 | 8626
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License Number State | CO
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