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General NPI Number Information
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NPI Number | 1487115762
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Entity Type | Individual
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Provider Name | CARYN FERRIGNO KELLER PT, DPT, NCS
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Gender | Female
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Dates
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Enumeration Date | 03/28/2019
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Last Update Date | 12/02/2024
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Provider Practice Location Address
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Address Line | 525 E FOUNTAIN BLVD STE 150
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City | COLORADO SPRINGS
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State | CO
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Zip | 80903-4465
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Country | US
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Telephone | 719-286-0780
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Fax |
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Provider Business Mailing Address
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Address Line | 3 BROADMOOR AVE
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City | COLORADO SPRINGS
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State | CO
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Zip | 80906-3641
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Country | US
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Telephone | 908-566-5072
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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 | 0015727
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License Number State | CO
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