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General NPI Number Information
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NPI Number | 1588877708
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Entity Type | Individual
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Provider Name | STEPHEN P CALLAHAN
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Gender | Male
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Dates
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Enumeration Date | 05/07/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 6595 S DAYTON ST SUITE 1500
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City | GREENWOOD VILLAGE
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State | CO
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Zip | 80111-6128
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Country | US
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Telephone | 303-504-9945
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Fax | 303-504-9946
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Provider Business Mailing Address
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Address Line | 11643 HANNAH DR
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City | CONIFER
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State | CO
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Zip | 80433-7519
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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 |
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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 | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number |
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License Number State |
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