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General NPI Number Information
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NPI Number | 1265718225
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Entity Type | Individual
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Provider Name | DEANN LYNN THOMAS P.T.
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Gender | Female
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Dates
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Enumeration Date | 10/22/2011
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Last Update Date | 10/22/2011
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Provider Practice Location Address
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Address Line | 2050 S MAIN ST
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City | DELTA
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State | CO
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Zip | 81416-2407
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Country | US
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Telephone | 970-874-0701
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Fax |
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Provider Business Mailing Address
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Address Line | 20302 HORIZON WEST RD
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City | ECKERT
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State | CO
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Zip | 81418-4105
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Country | US
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Telephone | 970-209-2992
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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 | 5115
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License Number State | CO
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