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General NPI Number Information
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NPI Number | 1316831787
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Entity Type | Individual
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Provider Name | JULIA CAROLYN-ROSE WOPAT DPT
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Gender | Female
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Dates
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Enumeration Date | 06/09/2025
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Last Update Date | 06/09/2025
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Provider Practice Location Address
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Address Line | 100 BASECAMP WAY # 105
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City | FRISCO
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State | CO
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Zip | 80443-5967
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Country | US
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Telephone | 970-668-3169
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Fax |
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Provider Business Mailing Address
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Address Line | 211 SWAN ST
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City | GENOA
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State | WI
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Zip | 54632-2900
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Country | US
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Telephone | 608-304-4267
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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.0020629
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License Number State | CO
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