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General NPI Number Information
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NPI Number | 1194410969
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Entity Type | Individual
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Provider Name | TRAVIS L KEMPER PT, DPT
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Gender | Male
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Dates
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Enumeration Date | 04/07/2023
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Last Update Date | 04/07/2023
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Provider Practice Location Address
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Address Line | 100 MIDLAND AVE UNIT 250
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City | GLENWOOD SPRINGS
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State | CO
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Zip | 81601-9808
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Country | US
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Telephone | 970-945-4440
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Fax |
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Provider Business Mailing Address
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Address Line | 1454 CRAWFORD WAY
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City | GLENWOOD SPRINGS
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State | CO
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Zip | 81601-8620
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Country | US
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Telephone | 717-495-7975
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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 | PTL.0017153
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License Number State | CO
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