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General NPI Number Information
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NPI Number | 1306444948
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Entity Type | Individual
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Provider Name | ROBERT J MCKAY PT, DPT
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Gender | Male
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Dates
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Enumeration Date | 10/15/2020
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Last Update Date | 10/15/2020
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Provider Practice Location Address
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Address Line | 1109 FORD ST # WC707
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City | GOLDEN
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State | CO
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Zip | 80401-1176
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Country | US
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Telephone | 303-277-3305
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Fax |
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Provider Business Mailing Address
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Address Line | 10188 W 52ND PL UNIT 204
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City | WHEAT RIDGE
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State | CO
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Zip | 80033-6604
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Country | US
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Telephone | 815-790-2646
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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 | PTL.0017067
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License Number State | CO
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