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General NPI Number Information
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NPI Number | 1508268194
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Entity Type | Organization
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Legal Business Name | KATHRYN DIFRANK
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Dates
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Enumeration Date | 09/25/2014
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Last Update Date | 03/09/2021
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Provider Practice Location Address
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Address Line | 652 MELISSA LN
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City | CARBONDALE
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State | CO
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Zip | 81623-2819
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Country | US
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Telephone | 720-470-0249
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 983
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City | CARBONDALE
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State | CO
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Zip | 81623-0983
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Country | US
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Telephone | 720-470-0249
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Fax |
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Authorized Official
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Title or Position | PHYSICAL THERAPIST
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Name | MRS. KATHRYN DOROTHY DIFRANK
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Credential | MSPT
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Telephone | 720-470-0249
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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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