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General NPI Number Information
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NPI Number | 1104155688
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Entity Type | Organization
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Legal Business Name | BEINN SONAS PHYSICAL THERAPY SERVICES
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Dates
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Enumeration Date | 12/14/2009
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Last Update Date | 12/14/2009
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Provider Practice Location Address
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Address Line | 12810 RAMPART RANGE ROAD
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City | WOODLAND PARK
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State | CO
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Zip | 80863
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Country | US
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Telephone | 719-687-8034
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Fax | 719-533-1528
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Provider Business Mailing Address
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Address Line | 12810 RAMPART RANGE ROAD
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City | WOODLAND PARK
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State | CO
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Zip | 80863
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Country | US
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Telephone | 719-687-8034
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Fax | 719-533-1528
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Authorized Official
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Title or Position | OWNER
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Name | DR. CAMERON W MACDONALD
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Credential | PT DPT
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Telephone | 719-687-8034
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number | 7810
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License Number State | CO
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Taxonomy #2
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number | 7716
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License Number State | CO
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