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General NPI Number Information
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NPI Number | 1376247155
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Entity Type | Individual
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Provider Name | CONNOR MCNAMARA NELSON PT, DPT
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Gender | Male
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Dates
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Enumeration Date | 03/28/2023
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Last Update Date | 01/21/2026
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Provider Practice Location Address
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Address Line | 25577 CONIFER RD UNIT 125
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City | CONIFER
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State | CO
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Zip | 80433-9068
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Country | US
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Telephone | 303-838-7444
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Fax |
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Provider Business Mailing Address
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Address Line | 8185 SW 117TH ST
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City | PINECREST
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State | FL
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Zip | 33156
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Country | US
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Telephone |
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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 | 0020955
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License Number State | CO
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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 | 12959
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License Number State | MN
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Taxonomy #3
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 88982
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License Number State | MA
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Taxonomy #4
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PT40056
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License Number State | FL
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