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General NPI Number Information
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NPI Number | 1447484969
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Entity Type | Organization
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Legal Business Name | EMBODYMENT STUDIO, INC.
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Dates
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Enumeration Date | 05/12/2009
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Last Update Date | 08/11/2009
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Provider Practice Location Address
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Address Line | 618 E 1ST AVE
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City | DENVER
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State | CO
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Zip | 80203-4202
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Country | US
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Telephone | 303-956-2600
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Fax |
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Provider Business Mailing Address
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Address Line | 170 GRAPE ST
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City | DENVER
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State | CO
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Zip | 80220-5806
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Country | US
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Telephone | 303-956-2600
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Fax |
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Authorized Official
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Title or Position | DIRECTOR/OWNER
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Name | MRS. CATHERINE ANN HODGES
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Credential | MSPT, DPT
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Telephone | 303-956-2600
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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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