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General NPI Number Information
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NPI Number | 1073805339
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Entity Type | Individual
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Provider Name | ANTHONY REYN DPT
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Gender | Male
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Dates
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Enumeration Date | 05/04/2011
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Last Update Date | 05/16/2012
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Provider Practice Location Address
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Address Line | 7200 E QUINCY AVE
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City | DENVER
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State | CO
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Zip | 80237-2255
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Country | US
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Telephone | 303-221-9611
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Fax |
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Provider Business Mailing Address
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Address Line | 7061 S LAREDO ST
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City | AURORA
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State | CO
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Zip | 80016-5113
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Country | US
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Telephone | 303-680-3933
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PTL-11654
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License Number State | CO
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