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General NPI Number Information
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NPI Number | 1659452944
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Entity Type | Organization
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Legal Business Name | SALIDA PHYSICAL THERAPY INC
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Dates
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Enumeration Date | 10/17/2006
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Last Update Date | 03/13/2008
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Provider Practice Location Address
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Address Line | 233 F ST
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City | SALIDA
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State | CO
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Zip | 81201-2103
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Country | US
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Telephone | 719-539-6144
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Fax | 719-539-1411
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Provider Business Mailing Address
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Address Line | PO BOX 2526
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City | COLORADO SPRINGS
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State | CO
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Zip | 80901-2526
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Country | US
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Telephone | 800-530-3065
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Fax | 800-514-5044
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Authorized Official
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Title or Position | OFFICE MGR
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Name | SUE MILLS
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Credential |
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Telephone | 719-539-6144
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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 | CO
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