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General NPI Number Information
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NPI Number | 1497010128
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Entity Type | Organization
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Legal Business Name | MOMENTUM PHYSICAL THERAPY AND FITNESS, INC.
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Dates
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Enumeration Date | 07/09/2012
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Last Update Date | 07/09/2012
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Provider Practice Location Address
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Address Line | 2219 NORTHGLEN DR
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City | COLORADO SPRINGS
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State | CO
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Zip | 80909-1631
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Country | US
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Telephone | 719-351-8436
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Fax | 719-465-1043
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Provider Business Mailing Address
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Address Line | 2219 NORTHGLEN DR
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City | COLORADO SPRINGS
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State | CO
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Zip | 80909-1631
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Country | US
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Telephone | 719-351-8436
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Fax | 719-465-1043
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Authorized Official
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Title or Position | OWNER
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Name | ROBERT DAVID BATCHELDER
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Credential | PT
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Telephone | 719-351-8436
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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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