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General NPI Number Information
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NPI Number | 1417247586
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Entity Type | Organization
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Legal Business Name | PRECISION THERAPY, PC
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Dates
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Enumeration Date | 04/11/2011
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Last Update Date | 06/22/2011
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Provider Practice Location Address
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Address Line | 6825 S GALENA ST #250
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City | CENTENNIAL
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State | CO
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Zip | 80112-3715
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Country | US
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Telephone | 720-924-5878
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Fax |
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Provider Business Mailing Address
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Address Line | 12506 W PRENTICE PL
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City | LITTLETON
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State | CO
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Zip | 80127-6213
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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/CEO
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Name | MR. KEVIN DAVID VERNON
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Credential | MSPT
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Telephone | 720-924-5878
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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 | 7902
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License Number State | CO
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