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General NPI Number Information
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NPI Number | 1245738970
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Entity Type | Individual
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Provider Name | DAVID ABBOTT NMT HMS SMT LMT TIC
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Gender | Male
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Dates
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Enumeration Date | 01/29/2018
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Last Update Date | 10/05/2022
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Provider Practice Location Address
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Address Line | 2120 ACADEMY CIR STE F
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City | COLORADO SPRINGS
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State | CO
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Zip | 80909-1674
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Country | US
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Telephone | 719-373-3399
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Fax |
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Provider Business Mailing Address
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Address Line | 2120 ACADEMY CIR STE F
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City | COLORADO SPRINGS
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State | CO
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Zip | 80909-1674
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Country | US
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Telephone | 719-373-3399
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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 | 225400000X
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Taxonomy Name | Rehabilitation Practitioner
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 225700000X
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Taxonomy Name | Massage Therapist
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License Number | MT.0019317
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License Number State | CO
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