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General NPI Number Information
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NPI Number | 1093227167
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Entity Type | Organization
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Legal Business Name | A MARSHALL PHYSICAL THERAPY, LLC
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Dates
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Enumeration Date | 10/30/2017
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Last Update Date | 10/30/2017
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Provider Practice Location Address
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Address Line | 917 CYPRESS LN
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City | LOUISVILLE
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State | CO
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Zip | 80027-9429
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Country | US
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Telephone | 248-376-1781
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Fax |
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Provider Business Mailing Address
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Address Line | 917 CYPRESS LN
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City | LOUISVILLE
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State | CO
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Zip | 80027-9429
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Country | US
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Telephone | 248-376-1781
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Fax |
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Authorized Official
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Title or Position | PT
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Name | ANNA MARSHALL
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Credential |
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Telephone | 248-376-1781
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2251P0200X
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Taxonomy Name | Pediatric Physical Therapist
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License Number | PTL.0013737
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License Number State | CO
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