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General NPI Number Information
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NPI Number | 1386296721
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Entity Type | Organization
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Legal Business Name | DREAM BIG THERAPY LLC
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Dates
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Enumeration Date | 07/16/2019
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Last Update Date | 07/16/2019
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Provider Practice Location Address
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Address Line | 930 S COUNTY RD 121
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City | BENNETT
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State | CO
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Zip | 80102
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Country | US
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Telephone | 720-778-7638
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Fax |
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Provider Business Mailing Address
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Address Line | 4912 W EISENHOWER BLVD
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City | LOVELAND
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State | CO
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Zip | 80537-9188
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Country | US
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Telephone | 720-778-7638
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Fax |
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Authorized Official
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Title or Position | OCCUPATIONAL THERAPIST
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Name | KATIE BJORGAARD
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Credential |
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Telephone | 720-778-7638
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number |
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License Number State |
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