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General NPI Number Information
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NPI Number | 1316565658
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Entity Type | Individual
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Provider Name | BREANNA M BUNTIN DPT
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Gender | Female
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Dates
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Enumeration Date | 07/13/2020
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 175 INVERNESS DR W STE 100
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City | ENGLEWOOD
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State | CO
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Zip | 80112-5066
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Country | US
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Telephone | 303-694-3333
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Fax | 303-694-9666
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Provider Business Mailing Address
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Address Line | 2695 ROCKY MOUNTAIN AVE STE 150
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City | LOVELAND
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State | CO
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Zip | 80538-9071
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Country | US
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Telephone | 970-624-1103
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Fax | 970-490-4156
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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 | PTP-PT-REG-0001140
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License Number State | MT
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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 | PTL.0019753
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License Number State | CO
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