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General NPI Number Information
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NPI Number | 1104531672
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Entity Type | Individual
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Provider Name | CHARLES REAGAN TOAL PT, DPT
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Gender | Male
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Dates
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Enumeration Date | 01/19/2023
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Last Update Date | 10/16/2025
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Provider Practice Location Address
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Address Line | 730 14TH ST SW STE 200
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City | LOVELAND
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State | CO
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Zip | 80537-6349
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Country | US
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Telephone | 970-663-0815
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Fax |
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Provider Business Mailing Address
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Address Line | 730 14TH ST SW STE 200
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City | LOVELAND
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State | CO
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Zip | 80537-6349
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Country | US
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Telephone | 970-663-0815
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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.0020907
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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 | PT61675054
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License Number State | WA
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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 | 305820
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License Number State | CA
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