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General NPI Number Information
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NPI Number | 1689561144
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Entity Type | Individual
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Provider Name | MARIAH BIXLER
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Gender | Female
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Dates
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Enumeration Date | 06/18/2025
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Last Update Date | 09/04/2025
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Provider Practice Location Address
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Address Line | 1263 LAKE PLAZA DR STE 210B
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City | COLORADO SPRINGS
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State | CO
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Zip | 80906-3564
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Country | US
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Telephone | 719-623-1050
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Fax |
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Provider Business Mailing Address
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Address Line | 1565 GATEHOUSE CIR N APT 205
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City | COLORADO SPRINGS
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State | CO
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Zip | 80904-2923
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Country | US
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Telephone | 317-246-8487
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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 | PTL.0020680
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License Number State | CO
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 1971059
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License Number State | ID
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