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General NPI Number Information
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NPI Number | 1396063657
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Entity Type | Organization
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Legal Business Name | MILESTONE PEDIATRIC THERAPY SERVICES
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Dates
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Enumeration Date | 05/12/2010
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Last Update Date | 10/09/2023
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Provider Practice Location Address
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Address Line | 7720 E BELLEVIEW AVE STE B106
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City | GREENWOOD VILLAGE
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State | CO
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Zip | 80111-2612
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Country | US
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Telephone | 720-287-4185
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Fax | 303-223-3462
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Provider Business Mailing Address
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Address Line | 7720 E BELLEVIEW AVE STE B106
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City | GREENWOOD VILLAGE
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State | CO
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Zip | 80111-2612
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Country | US
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Telephone | 720-287-4185
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Fax | 720-287-4185
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Authorized Official
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Title or Position | OWNER/PHYSICAL THERAPIST
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Name | TERRA RAE SCOTT
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Credential | MSPT
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Telephone | 303-437-4364
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 106S00000X
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Taxonomy Name | Behavior Technician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 6860
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License Number State | CO
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Taxonomy #4
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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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Taxonomy #5
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 6860
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License Number State | CO
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