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General NPI Number Information
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NPI Number | 1356551428
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Entity Type | Organization
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Legal Business Name | DIANE B. BAER, PC
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Dates
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Enumeration Date | 05/23/2007
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Last Update Date | 10/10/2007
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Provider Practice Location Address
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Address Line | 3765 S BROADWAY
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City | ENGLEWOOD
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State | CO
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Zip | 80113-3611
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Country | US
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Telephone | 303-781-7855
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Fax | 303-781-7826
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Provider Business Mailing Address
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Address Line | PO BOX 1992
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City | ENGLEWOOD
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State | CO
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Zip | 80150-1992
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Country | US
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Telephone | 303-781-7855
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Fax | 303-781-7826
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Authorized Official
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Title or Position | OWNER
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Name | DIANE BAER
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Credential | PT
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Telephone | 303-781-7855
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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 | 2008
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License Number State | CO
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