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General NPI Number Information
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NPI Number | 1245149541
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Entity Type | Organization
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Legal Business Name | EXCEPTIONAL PEDIATRIC THERAPY, LLC
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Dates
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Enumeration Date | 09/02/2026
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Last Update Date | 09/02/2026
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Provider Practice Location Address
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Address Line | 8475 LOST LAKE DR
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City | FRANKTOWN
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State | CO
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Zip | 80116-9627
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Country | US
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Telephone | 720-308-8818
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Fax |
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Provider Business Mailing Address
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Address Line | 13671 SILVERTON DR
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City | BROOMFIELD
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State | CO
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Zip | 80020-6034
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | JONATHON TUCCIO
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Credential |
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Telephone | 720-308-8818
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0400X
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Taxonomy Name | Rehabilitation Clinic/Center
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License Number |
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License Number State |
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