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General NPI Number Information
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NPI Number | 1174760318
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Entity Type | Individual
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Provider Name | ANDREA MARCHESE PT, DPT
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Gender | Female
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Dates
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Enumeration Date | 01/09/2009
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Last Update Date | 12/31/2024
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Provider Practice Location Address
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Address Line | 1203 COLORADO AVE STE A
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City | GRAND JUNCTION
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State | CO
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Zip | 81501-4630
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Country | US
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Telephone | 970-609-9771
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Fax |
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Provider Business Mailing Address
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Address Line | 109 GLADE PARK RD
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City | GRAND JUNCTION
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State | CO
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Zip | 81507-2715
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Country | US
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Telephone | 970-778-5448
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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 | 225700000X
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Taxonomy Name | Massage Therapist
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License Number | 2973
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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 | 9023
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License Number State | CO
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