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General NPI Number Information
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NPI Number | 1073059986
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Entity Type | Individual
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Provider Name | COURTNEY LEIGH GALVAN ATC
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Gender | Female
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Dates
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Enumeration Date | 01/16/2017
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Last Update Date | 03/17/2018
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Provider Practice Location Address
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Address Line | 6900 E 47TH AVENUE DR STE 150
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City | DENVER
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State | CO
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Zip | 80216-3401
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Country | US
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Telephone | 303-920-1200
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Fax | 303-920-1281
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Provider Business Mailing Address
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Address Line | 16674 E LOUISIANA DR
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City | AURORA
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State | CO
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Zip | 80017-4108
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Country | US
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Telephone | 720-220-9919
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number | AT.0001558
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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 | AT.0001558
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License Number State | CO
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