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General NPI Number Information
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NPI Number | 1548360092
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Entity Type | Individual
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Provider Name | MR. BRADLEY ALLEN POPPIE
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Gender | Male
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Dates
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Enumeration Date | 09/24/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 3600 S WADSWORTH BLVD
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City | LAKEWOOD
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State | CO
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Zip | 80235-2103
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Country | US
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Telephone | 303-984-5531
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Fax | 303-984-5563
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Provider Business Mailing Address
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Address Line | 3350 ASHWORTH AVE
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City | LITTLETON
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State | CO
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Zip | 80126-7581
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Country | US
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Telephone | 303-470-1275
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Fax | 720-344-5787
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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 | 7428
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License Number State | CO
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