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General NPI Number Information
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NPI Number | 1407791775
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Entity Type | Organization
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Legal Business Name | CONNECTED PEDIATRIC THERAPIES LLC
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Dates
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Enumeration Date | 04/22/2026
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Last Update Date | 04/22/2026
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Provider Practice Location Address
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Address Line | 600 ROOD AVE STE 201
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City | GRAND JUNCTION
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State | CO
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Zip | 81501-2761
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Country | US
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Telephone | 970-639-0491
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Fax |
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Provider Business Mailing Address
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Address Line | 736 W OTTLEY AVE
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City | FRUITA
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State | CO
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Zip | 81521-2197
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Country | US
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Telephone | 970-639-0760
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | PANIKA PALMER
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Credential |
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Telephone | 970-639-0760
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174N00000X
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Taxonomy Name | Lactation Consultant (Non-RN)
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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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 | 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 #4
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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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