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General NPI Number Information
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NPI Number | 1609791342
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Entity Type | Individual
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Provider Name | TRACY MICHELLE LANG P.T.
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Gender | Female
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Dates
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Enumeration Date | 08/11/2026
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Last Update Date | 08/11/2026
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Provider Practice Location Address
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Address Line | 11010 HIGH NOTE AVE
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City | LONE TREE
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State | CO
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Zip | 80134-7056
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Country | US
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Telephone | 720-901-5556
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Fax |
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Provider Business Mailing Address
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Address Line | 7538 PIRLOT PL
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City | LONE TREE
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State | CO
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Zip | 80124-9782
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 4918
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License Number State | CO
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