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General NPI Number Information
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NPI Number | 1255035754
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Entity Type | Individual
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Provider Name | JASPER CRUSBERG DPT
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Gender | Male
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Dates
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Enumeration Date | 03/28/2023
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Last Update Date | 10/15/2025
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Provider Practice Location Address
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Address Line | 300 UNIVERSITY BLVD
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City | ROUND ROCK
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State | TX
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Zip | 78665-1032
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Country | US
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Telephone | 502-529-0100
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Fax |
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Provider Business Mailing Address
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Address Line | 11 W DRY CREEK CT
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City | LITTLETON
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State | CO
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Zip | 80120-4484
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Country | US
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Telephone | 858-405-0916
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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 | 1374900
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | CP038626T
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License Number State | CO
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