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General NPI Number Information
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NPI Number | 1437018942
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Entity Type | Organization
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Legal Business Name | CS COLORADO CLINICS LLC
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Dates
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Enumeration Date | 01/20/2026
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Last Update Date | 01/20/2026
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Provider Practice Location Address
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Address Line | 1380 TULIP ST
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City | LONGMONT
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State | CO
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Zip | 80501-3157
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Country | US
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Telephone | 303-485-4163
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Fax | 303-485-4164
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Provider Business Mailing Address
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Address Line | 1380 TULIP ST
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City | LONGMONT
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State | CO
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Zip | 80501-3157
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Country | US
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Telephone | 303-485-4163
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Fax | 303-485-4164
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Authorized Official
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Title or Position | ASSIST ADMINISTRATOR
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Name | MR. GLENN PESHEK
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Credential |
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Telephone | 303-673-7164
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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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