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General NPI Number Information
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NPI Number | 1386805364
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Entity Type | Organization
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Legal Business Name | RICHCREEK THERAPY LTD
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Dates
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Enumeration Date | 06/22/2008
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Last Update Date | 06/22/2008
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Provider Practice Location Address
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Address Line | 15200 E GIRARD AVE STE 1900
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City | AURORA
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State | CO
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Zip | 80014-5048
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Country | US
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Telephone | 720-951-1783
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Fax | 720-870-3716
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Provider Business Mailing Address
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Address Line | 15200 E GIRARD AVE STE 1900
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City | AURORA
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State | CO
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Zip | 80014-5048
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Country | US
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Telephone | 720-951-1783
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Fax | 720-870-3716
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Authorized Official
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Title or Position | OWNER
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Name | MRS. FRANCINE LYNN RICHCREEK
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Credential | MT
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Telephone | 720-951-1783
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State | CO
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