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General NPI Number Information
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NPI Number | 1578294112
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Entity Type | Organization
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Legal Business Name | CADRE PHYSICAL THERAPY AND PERFORMANCE, LLC
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Dates
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Enumeration Date | 06/23/2022
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Last Update Date | 06/23/2022
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Provider Practice Location Address
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Address Line | 5606 N UNION BLVD
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City | COLORADO SPRINGS
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State | CO
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Zip | 80918-1940
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Country | US
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Telephone | 719-229-3526
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Fax |
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Provider Business Mailing Address
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Address Line | 2843 MERRY LN
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City | COLORADO SPRINGS
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State | CO
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Zip | 80909-2568
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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 | OWNER/PHYSICAL THERAPIST
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Name | DR. DAVID BUSH
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Credential | PT, DPT
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Telephone | 719-229-3526
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2251X0800X
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Taxonomy Name | Orthopedic Physical Therapist
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License Number |
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License Number State |
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