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General NPI Number Information
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NPI Number | 1275617524
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Entity Type | Individual
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Provider Name | ROBERT JAMES LETENDRE JR. PT
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Gender | Male
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Dates
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Enumeration Date | 10/24/2006
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Last Update Date | 08/20/2010
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Provider Practice Location Address
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Address Line | 3601 S PEARL ST 200
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City | ENGLEWOOD
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State | CO
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Zip | 80113-3805
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Country | US
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Telephone | 303-757-1554
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Fax | 303-757-3104
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Provider Business Mailing Address
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Address Line | 3601 S PEARL ST 200
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City | ENGLEWOOD
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State | CO
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Zip | 80113-3805
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Country | US
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Telephone | 303-757-1554
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Fax | 303-757-3104
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number | 6517
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License Number State | CO
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