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General NPI Number Information
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NPI Number | 1295551836
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Entity Type | Organization
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Legal Business Name | BEYOND BORDERS PHYSICAL THERAPY
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Dates
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Enumeration Date | 11/27/2024
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Last Update Date | 11/27/2024
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Provider Practice Location Address
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Address Line | 51783 HIGHWAY 6
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City | GLENWOOD SPRINGS
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State | CO
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Zip | 81601-2834
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Country | US
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Telephone | 970-312-4042
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Fax | 970-237-4046
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Provider Business Mailing Address
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Address Line | 253 WULFSOHN RD APT 114
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City | GLENWOOD SPRINGS
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State | CO
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Zip | 81601-8776
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Country | US
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Telephone | 970-312-4042
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Fax | 970-237-4046
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Authorized Official
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Title or Position | PHYSICAL THERAPIST
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Name | DR. JORGE ESPARZA
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Credential | DPT
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Telephone | 970-312-4042
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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 |
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License Number State |
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