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General NPI Number Information
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NPI Number | 1497249528
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Entity Type | Organization
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Legal Business Name | THREE PINES THERAPY LLC
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Dates
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Enumeration Date | 06/21/2018
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Last Update Date | 12/09/2021
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Provider Practice Location Address
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Address Line | 1135 N LINCOLN AVE STE 4
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City | LOVELAND
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State | CO
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Zip | 80537-4877
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Country | US
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Telephone | 970-660-8787
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Fax | 970-658-5665
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Provider Business Mailing Address
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Address Line | 7831 W US HIGHWAY 34
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City | LOVELAND
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State | CO
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Zip | 80537-9455
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Country | US
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Telephone | 970-660-8787
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Fax |
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Authorized Official
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Title or Position | OCCUPATIONAL THERAPIST
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Name | KAREN N HARMON
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Credential | MS OTR/L
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Telephone | 970-660-8787
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | 0002478
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License Number State | CO
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