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General NPI Number Information
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NPI Number | 1134253412
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Entity Type | Organization
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Legal Business Name | JOHNSON & JOHNSON PHYSICAL THERAPY
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Dates
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Enumeration Date | 03/16/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1856 LINCOLN AVENUE
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City | STEAMBOAT SPRINGS
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State | CO
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Zip | 80487
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Country | US
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Telephone | 970-879-4558
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Fax | 970-870-8099
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Provider Business Mailing Address
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Address Line | 1856 LINCOLN AVENUE
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City | STEAMBOAT SPRINGS
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State | CO
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Zip | 80487
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Country | US
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Telephone | 970-879-4558
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Fax | 970-870-8099
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MS. NORA A MATTEO
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Credential |
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Telephone | 970-879-4558
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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 |
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License Number State |
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