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General NPI Number Information
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NPI Number | 1568640951
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Entity Type | Individual
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Provider Name | PATRI CK J BENEFIELD PT
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Gender | Male
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Dates
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Enumeration Date | 02/07/2008
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Last Update Date | 02/07/2008
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Provider Practice Location Address
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Address Line | 1055 CLERMONT ST PHYSICAL THERAPY
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City | DENVER
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State | CO
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Zip | 80220-3808
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Country | US
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Telephone | 303-399-8020
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Fax |
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Provider Business Mailing Address
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Address Line | 631 25TH ST
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City | DENVER
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State | CO
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Zip | 80205-2917
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Country | US
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Telephone | 303-399-8020
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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 | 9219
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License Number State | CO
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PTH4580
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License Number State | AL
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