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General NPI Number Information
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NPI Number | 1689814220
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Entity Type | Individual
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Provider Name | SUSAN DIALOGO SALOB-ABIOG P.T.
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Gender | Female
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Dates
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Enumeration Date | 02/23/2009
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Last Update Date | 06/21/2024
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Provider Practice Location Address
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Address Line | 685 CITADEL DR E STE 669
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City | COLORADO SPRINGS
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State | CO
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Zip | 80909-5453
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Country | US
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Telephone | 719-597-6241
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Fax | 719-698-9944
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Provider Business Mailing Address
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Address Line | 685 CITADEL DR E STE 669
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City | COLORADO SPRINGS
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State | CO
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Zip | 80909-5453
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Country | US
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Telephone | 719-597-6241
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Fax | 719-698-9944
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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 | PTL0013631
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License Number State | CO
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