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General NPI Number Information
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NPI Number | 1538603519
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Entity Type | Organization
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Legal Business Name | INNOVATIVE PHYSICAL THERAPY
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Dates
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Enumeration Date | 12/12/2016
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Last Update Date | 03/22/2017
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Provider Practice Location Address
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Address Line | 4704 HARLAN ST SUITE 505
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City | DENVER
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State | CO
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Zip | 80212-7415
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Country | US
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Telephone | 303-424-7243
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Fax | 303-421-0705
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Provider Business Mailing Address
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Address Line | 4704 HARLAN ST SUITE 505
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City | DENVER
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State | CO
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Zip | 80212-7415
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Country | US
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Telephone | 303-424-7243
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Fax | 303-421-0705
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Authorized Official
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Title or Position | DOCTOR OF PHYSICAL THERAPY/OWNER
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Name | DR. DELILAH J CRUMP
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Credential | DPT
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Telephone | 303-424-7243
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | PTL9777
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License Number State | CO
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