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General NPI Number Information
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NPI Number | 1306156872
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Entity Type | Organization
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Legal Business Name | BOUNCE BACK REHAB SERVICES, INC.
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Dates
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Enumeration Date | 10/18/2010
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Last Update Date | 10/18/2010
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Provider Practice Location Address
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Address Line | 7629 CHICKAREE PL
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City | LITTLETON
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State | CO
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Zip | 80125-8412
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Country | US
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Telephone | 303-434-4365
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Fax | 303-957-5512
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Provider Business Mailing Address
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Address Line | 7629 CHICKAREE PL
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City | LITTLETON
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State | CO
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Zip | 80125-8412
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Country | US
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Telephone | 303-434-4365
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Fax | 303-957-5512
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Authorized Official
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Title or Position | SECRETARY
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Name | CINDY D FOWLER
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Credential |
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Telephone | 303-434-4365
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number | 4007
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License Number State | CO
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