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General NPI Number Information
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NPI Number | 1689162018
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Entity Type | Organization
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Legal Business Name | KCV PILATES INC
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Dates
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Enumeration Date | 05/01/2018
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Last Update Date | 05/01/2018
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Provider Practice Location Address
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Address Line | 8420 S CONTINENTAL DIVIDE RD STE 200
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City | LITTLETON
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State | CO
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Zip | 80127-4251
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Country | US
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Telephone | 720-987-6674
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Fax |
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Provider Business Mailing Address
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Address Line | 31 TECOMA CIR
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City | LITTLETON
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State | CO
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Zip | 80127-5732
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Country | US
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Telephone | 720-987-6674
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Fax |
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Authorized Official
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Title or Position | OWNER/ PHYSICAL THERAPIST
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Name | WENDY EVANS
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Credential | MSPT
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Telephone | 720-987-6674
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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 | 6262
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License Number State | CO
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