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General NPI Number Information
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NPI Number | 1417979857
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Entity Type | Organization
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Legal Business Name | INDEPENDENT PHYSICAL THERAPY P.C.
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Dates
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Enumeration Date | 07/24/2006
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Last Update Date | 07/08/2010
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Provider Practice Location Address
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Address Line | 10359 NORTH FEDERAL BLVD. SUITE 205
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City | WESTMINSTER
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State | CO
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Zip | 80260
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Country | US
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Telephone | 303-410-8178
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Fax | 303-410-2573
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Provider Business Mailing Address
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Address Line | 10359 NORTH FEDERAL BLVD. SUITE 205
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City | WESTMINSTER
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State | CO
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Zip | 80260
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Country | US
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Telephone | 303-410-8178
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Fax | 303-410-2573
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. DAVID BEN BOOKOUT
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Credential | P.T.
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Telephone | 303-410-8178
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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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