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General NPI Number Information
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NPI Number | 1104366004
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Entity Type | Individual
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Provider Name | IVY LAUREN STRANTZ DPT
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Gender | Female
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Dates
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Enumeration Date | 02/27/2017
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Last Update Date | 06/04/2021
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Provider Practice Location Address
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Address Line | 660 GOLDEN RIDGE RD STE 130
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City | GOLDEN
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State | CO
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Zip | 80401-9541
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Country | US
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Telephone | 303-275-2190
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Fax |
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Provider Business Mailing Address
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Address Line | 11 W DRY CREEK CT
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City | LITTLETON
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State | CO
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Zip | 80120-4484
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Country | US
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Telephone | 303-795-0428
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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 | 2251X0800X
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Taxonomy Name | Orthopedic Physical Therapist
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License Number | PTL.0017577
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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 | 17577
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License Number State | CO
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Taxonomy #3
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 12319
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License Number State | TN
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