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General NPI Number Information
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NPI Number | 1417643537
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Entity Type | Organization
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Legal Business Name | MICHAEL STIWICH PT LLC
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Dates
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Enumeration Date | 04/12/2023
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Last Update Date | 04/12/2023
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Provider Practice Location Address
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Address Line | 2305 E ARAPAHOE RD STE 218
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City | CENTENNIAL
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State | CO
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Zip | 80122-1538
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Country | US
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Telephone | 720-422-1446
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Fax | 303-955-7946
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Provider Business Mailing Address
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Address Line | 19195 E STANFORD DR
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City | AURORA
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State | CO
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Zip | 80015-2861
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Country | US
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Telephone | 352-262-0264
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Fax |
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Authorized Official
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Title or Position | OWNER/PT
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Name | MR. MICHAEL F STIWICH
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Credential | PT
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Telephone | 352-262-0264
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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 #2
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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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