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General NPI Number Information
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NPI Number | 1306179759
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Entity Type | Organization
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Legal Business Name | ASPEN ADVANCEMENTS, INC.
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Dates
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Enumeration Date | 09/16/2009
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Last Update Date | 09/16/2009
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Provider Practice Location Address
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Address Line | 2525 EMPIRE AVE
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City | LOVELAND
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State | CO
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Zip | 80538-3021
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Country | US
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Telephone | 970-222-0049
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Fax |
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Provider Business Mailing Address
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Address Line | 2525 EMPIRE AVE
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City | LOVELAND
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State | CO
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Zip | 80538-3021
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Country | US
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Telephone | 970-222-0049
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Fax |
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Authorized Official
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Title or Position | PRESIDENT/OWNER
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Name | TERRI BOYLAN
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Credential | OTR
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Telephone | 970-222-0049
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | 1143
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License Number State | CO
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