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General NPI Number Information
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NPI Number | 1063701134
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Entity Type | Individual
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Provider Name | BEVERLY KAYE HELM PT
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Gender | Female
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Dates
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Enumeration Date | 03/29/2011
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Last Update Date | 03/29/2011
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Provider Practice Location Address
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Address Line | 600 DAKOTA LN
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City | CANON CITY
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State | CO
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Zip | 81212-9275
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Country | US
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Telephone | 719-275-8656
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Fax | 719-275-8858
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Provider Business Mailing Address
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Address Line | 1401 PHAY AVE
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City | CANON CITY
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State | CO
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Zip | 81212-2303
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Country | US
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Telephone | 719-275-8656
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Fax | 719-275-8858
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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 | 6629
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License Number State | CO
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