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General NPI Number Information
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NPI Number | 1194059444
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Entity Type | Organization
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Legal Business Name | ONCOLOGY REHAB
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Dates
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Enumeration Date | 09/18/2009
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Last Update Date | 09/18/2009
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Provider Practice Location Address
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Address Line | 5300 DTC PKWY SUITE 400
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City | GREENWOOD VILLAGE
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State | CO
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Zip | 80111-3023
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Country | US
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Telephone | 720-306-8261
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Fax | 720-306-8231
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Provider Business Mailing Address
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Address Line | 5300 DTC PKWY SUITE 400
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City | GREENWOOD VILLAGE
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State | CO
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Zip | 80111-3023
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Country | US
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Telephone | 720-306-8261
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Fax | 720-306-8231
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Authorized Official
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Title or Position | OWNER
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Name | MS. JULIA CORAL OSBORNE
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Credential | B.SC.PT
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Telephone | 720-306-8261
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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 | 7688
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License Number State | CO
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