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General NPI Number Information
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NPI Number | 1154014173
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Entity Type | Individual
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Provider Name | BRETT T LOZON DPT
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Gender | Male
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Dates
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Enumeration Date | 05/26/2023
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Last Update Date | 10/08/2024
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Provider Practice Location Address
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Address Line | 1803 E CHEYENNE MOUNTAIN BLVD
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City | COLORADO SPRINGS
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State | CO
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Zip | 80906-4027
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Country | US
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Telephone | 719-527-0848
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Fax | 719-527-0838
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Provider Business Mailing Address
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Address Line | 9070 W CHEYENNE AVE STE 100
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City | LAS VEGAS
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State | NV
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Zip | 89129-8935
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Country | US
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Telephone | 702-818-5000
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Fax | 702-818-5001
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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.0019145
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License Number State | CO
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