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General NPI Number Information
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NPI Number | 1083412043
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Entity Type | Individual
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Provider Name | CHRISTOPHER RAY DEAN DPT
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Gender | Male
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Dates
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Enumeration Date | 03/05/2025
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Last Update Date | 03/12/2025
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Provider Practice Location Address
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Address Line | 1330 QUAIL LAKE LOOP STE 100
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City | COLORADO SPRINGS
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State | CO
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Zip | 80906-4651
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Country | US
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Telephone | 719-579-0230
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Fax |
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Provider Business Mailing Address
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Address Line | 205 5TH ST
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City | GLENDIVE
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State | MT
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Zip | 59330-3518
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Country | US
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Telephone | 701-260-7792
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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 | CP04291OT
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License Number State | CO
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PTP-PT-LIC-29923
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License Number State | MT
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