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General NPI Number Information
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NPI Number | 1588584742
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Entity Type | Organization
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Legal Business Name | ASPEN SPORTS MEDICINE RPT LLC
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Dates
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Enumeration Date | 07/17/2026
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Last Update Date | 07/17/2026
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Provider Practice Location Address
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Address Line | 564 HIGHWAY 133 UNIT 3
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City | CARBONDALE
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State | CO
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Zip | 81623-1645
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Country | US
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Telephone | 970-963-2700
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Fax | 970-963-2702
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Provider Business Mailing Address
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Address Line | PO BOX 21150
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City | BOULDER
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State | CO
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Zip | 80308-4150
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Country | US
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Telephone | 970-925-1808
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Fax | 970-920-6535
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Authorized Official
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Title or Position | OWNER
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Name | STANLEY W CHEO
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Credential | PT
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Telephone | 970-925-1808
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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 |
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License Number State |
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