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General NPI Number Information
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NPI Number | 1548184831
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Entity Type | Individual
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Provider Name | RHETT GULOTTA PT
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Gender | Male
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Dates
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Enumeration Date | 08/07/2026
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Last Update Date | 08/07/2026
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Provider Practice Location Address
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Address Line | 17351 DRAKE ST
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City | BROOMFIELD
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State | CO
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Zip | 80023-5205
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Country | US
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Telephone | 303-908-0500
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Fax |
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Provider Business Mailing Address
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Address Line | 8342 N MARYS LN
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City | LA PORTE
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State | IN
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Zip | 46350-7027
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Country | US
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Telephone |
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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 | 21308
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License Number State |
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