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General NPI Number Information
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NPI Number | 1588784417
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Entity Type | Organization
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Legal Business Name | BAYFIELD PHYSICAL THERAPY, INC.
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Dates
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Enumeration Date | 04/02/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 182 W NORTH STREET
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City | BAYFIELD
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State | CO
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Zip | 81122
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Country | US
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Telephone | 970-884-2423
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Fax | 970-884-7473
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Provider Business Mailing Address
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Address Line | PO BOX 465
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City | BAYFIELD
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State | CO
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Zip | 81122-0465
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Country | US
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Telephone | 970-884-2423
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Fax | 970-884-7473
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Authorized Official
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Title or Position | OWNER
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Name | MR. ANDRE' SARNOW
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Credential | RPT
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Telephone | 970-884-2423
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number | 07-0061
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License Number State | CO
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