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General NPI Number Information
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NPI Number | 1235241324
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Entity Type | Individual
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Provider Name | MELISSA A BRYANT
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Gender | Female
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Dates
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Enumeration Date | 08/31/2006
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Last Update Date | 09/29/2014
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Provider Practice Location Address
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Address Line | 15 S WEBER ST STE A
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City | COLORADO SPRINGS
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State | CO
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Zip | 80903-1920
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Country | US
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Telephone | 719-630-7774
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Fax | 719-630-7190
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Provider Business Mailing Address
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Address Line | 1231 HOLMES DR
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City | COLORADO SPRINGS
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State | CO
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Zip | 80909-4133
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Country | US
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Telephone | 719-351-6300
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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 | 7228
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License Number State | CO
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