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NPI 1205887999

NPI 1205887999 : DANEEN ANN LUNA P.T. : GOLDEN, CO

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General NPI Number Information
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    NPI Number           |    1205887999
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    Entity Type          |    Individual 
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    Provider Name        |    DANEEN ANN LUNA P.T.
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    05/15/2006
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    Last Update Date     |    05/19/2021
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Provider Practice Location Address
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    Address Line         |    1020 JOHNSON RD 
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    City                 |    GOLDEN
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    State                |    CO
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    Zip                  |    80401-6002
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    Country              |    US
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    Telephone            |    720-723-5127
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    1160 ELBERT ST 
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    City                 |    DENVER
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    State                |    CO
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    Zip                  |    80221-3726
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    Country              |    US
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    Telephone            |    303-427-7931
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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       |    2901
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    License Number State |    CO
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