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General NPI Number Information
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NPI Number | 1073328464
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Entity Type | Individual
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Provider Name | MAX AARON BERSON LMT
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Gender | Male
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Dates
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Enumeration Date | 02/11/2025
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Last Update Date | 02/11/2025
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Provider Practice Location Address
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Address Line | 2851 S PARKER RD STE 1100
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City | AURORA
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State | CO
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Zip | 80014-2732
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Country | US
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Telephone | 720-817-0656
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Fax |
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Provider Business Mailing Address
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Address Line | 3470 S POPLAR ST APT H301
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City | DENVER
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State | CO
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Zip | 80224-2888
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Country | US
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Telephone | 424-242-8356
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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 | 225700000X
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Taxonomy Name | Massage Therapist
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License Number | MT.0020168
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License Number State | CO
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