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General NPI Number Information
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NPI Number | 1134829682
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Entity Type | Organization
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Legal Business Name | VERTICAL MOTION PHYSICAL THERAPY
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Dates
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Enumeration Date | 03/03/2023
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Last Update Date | 03/03/2023
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Provider Practice Location Address
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Address Line | 98 12TH AVE
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City | IDAHO SPRINGS
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State | CO
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Zip | 80452-5005
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Country | US
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Telephone | 303-325-5329
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Fax | 303-673-3323
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Provider Business Mailing Address
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Address Line | 32135 CASTLE CT STE 100A
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City | EVERGREEN
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State | CO
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Zip | 80439-8005
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Country | US
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Telephone | 303-325-5329
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Fax | 303-672-3323
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Authorized Official
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Title or Position | OWNER
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Name | JOSHUA WHITE
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Credential |
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Telephone | 303-325-5329
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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 |
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License Number State |
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