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General NPI Number Information
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NPI Number | 1316021538
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Entity Type | Organization
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Legal Business Name | KAIROS LLC DBA PAONIA PHYSICAL THERAPY
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Dates
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Enumeration Date | 10/24/2006
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Last Update Date | 09/19/2022
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Provider Practice Location Address
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Address Line | 101 ONARGA AVE
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City | PAONIA
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State | CO
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Zip | 81428-5068
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Country | US
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Telephone | 970-527-8967
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Fax | 970-527-3213
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Provider Business Mailing Address
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Address Line | PO BOX 1761
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City | PAONIA
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State | CO
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Zip | 81428-1761
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Country | US
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Telephone | 970-527-8967
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Fax | 970-527-3213
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Authorized Official
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Title or Position | OWNER PARTNER
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Name | DR. STEPHEN ARMSTRONG LEIGHTON
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Credential | P.T.
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Telephone | 970-527-8967
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2251X0800X
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Taxonomy Name | Orthopedic Physical Therapist
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License Number | 3724
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License Number State | CO
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