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General NPI Number Information
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NPI Number | 1477182483
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Entity Type | Individual
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Provider Name | DANNY LEE HOLT PHYSICAL THERAPIST
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Gender | Male
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Dates
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Enumeration Date | 04/02/2020
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Last Update Date | 04/02/2020
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Provider Practice Location Address
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Address Line | 8540 SCARBOROUGH DR
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City | COLORADO SPRINGS
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State | CO
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Zip | 80920-7502
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Country | US
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Telephone | 719-365-5742
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Fax | 719-365-6872
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Provider Business Mailing Address
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Address Line | 15665 SOO LINE WAY
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City | MONUMENT
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State | CO
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Zip | 80132-8500
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Country | US
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Telephone | 719-200-5081
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | 0007919
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License Number State | CO
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