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General NPI Number Information
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NPI Number | 1205474657
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Entity Type | Organization
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Legal Business Name | ANTHEM PHYSICAL THERAPY LLC
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Dates
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Enumeration Date | 12/17/2019
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Last Update Date | 10/01/2023
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Provider Practice Location Address
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Address Line | 1826 E PLATTE AVE STE 114
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City | COLORADO SPRINGS
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State | CO
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Zip | 80909-5738
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Country | US
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Telephone | 719-645-5052
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Fax | 720-419-3297
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Provider Business Mailing Address
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Address Line | 10083 MANHATTAN DR
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City | COLORADO SPRINGS
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State | CO
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Zip | 80924-7040
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Country | US
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Telephone | 719-645-5052
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Fax | 720-419-3297
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Authorized Official
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Title or Position | OWNER/PHYSICAL THERAPIST
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Name | DR. DANIEL SEUBERT
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Credential | PT, DPT, CERT. DN
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Telephone | 719-645-5052
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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 |
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License Number State |
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