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General NPI Number Information
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NPI Number | 1396177648
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Entity Type | Individual
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Provider Name | NICOLE MARIE POPPER PT, DPT
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Gender | Female
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Dates
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Enumeration Date | 08/08/2013
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Last Update Date | 08/08/2013
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Provider Practice Location Address
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Address Line | 9200 W CROSS DR SUITE 400
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City | LITTLETON
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State | CO
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Zip | 80123-2239
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Country | US
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Telephone | 303-904-8133
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Fax | 303-904-8109
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Provider Business Mailing Address
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Address Line | 3142 S ACOMA ST
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City | ENGLEWOOD
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State | CO
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Zip | 80110-2412
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Country | US
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Telephone | 303-818-3967
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Fax | 303-904-8109
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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 | 2251X0800X
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Taxonomy Name | Orthopedic Physical Therapist
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License Number | 0012285
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License Number State | CO
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