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General NPI Number Information
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NPI Number | 1306214291
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Entity Type | Individual
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Provider Name | MARK STAWECKI DPT
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Gender | Male
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Dates
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Enumeration Date | 09/09/2015
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Last Update Date | 01/02/2025
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Provider Practice Location Address
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Address Line | 9330 S UNIVERSITY BLVD STE 140
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City | HIGHLANDS RANCH
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State | CO
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Zip | 80126-5049
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Country | US
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Telephone | 303-471-4506
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Fax |
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Provider Business Mailing Address
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Address Line | 9330 S UNIVERSITY BLVD STE 140
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City | HIGHLANDS RANCH
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State | CO
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Zip | 80126-5049
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Country | US
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Telephone | 724-504-6536
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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 | PT024675
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PT61171761
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License Number State | WA
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Taxonomy #3
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PTL.0019032
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License Number State | CO
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