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General NPI Number Information
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NPI Number | 1396433983
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Entity Type | Organization
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Legal Business Name | CORE CONNECTIONS PELVIC HEALTH LLC
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Dates
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Enumeration Date | 05/01/2023
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Last Update Date | 05/01/2023
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Provider Practice Location Address
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Address Line | 1499 W LITTLETON BLVD STE 104
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City | LITTLETON
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State | CO
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Zip | 80120-2101
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Country | US
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Telephone | 650-906-6647
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Fax |
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Provider Business Mailing Address
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Address Line | 1499 W LITTLETON BLVD STE 104
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City | LITTLETON
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State | CO
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Zip | 80120-2101
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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 | OWNER & PHYSICAL THERAPIST
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Name | LEANNA RACINE
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Credential | DPT
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Telephone | 650-906-6647
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number |
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License Number State |
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