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General NPI Number Information
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NPI Number | 1164634564
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Entity Type | Individual
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Provider Name | PATRICIA ANN MARODA PHYSICAL THERAPIST
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Gender | Female
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Dates
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Enumeration Date | 05/06/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1400 E BOULDER ST
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City | COLORADO SPRINGS
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State | CO
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Zip | 80909-5533
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Country | US
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Telephone | 719-365-6519
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Fax |
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Provider Business Mailing Address
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Address Line | 6113 LITTLE PINE CIR
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City | COLORADO SPRINGS
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State | CO
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Zip | 80918-3484
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Country | US
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Telephone | 719-594-6671
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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 | 2762
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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 | 00487R
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License Number State | LA
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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 | 2305003284
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License Number State | VA
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Taxonomy #4
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 003436
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License Number State | OH
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Taxonomy #5
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 2144
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License Number State | HI
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Taxonomy #6
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 3733
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License Number State | FL
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