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General NPI Number Information
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NPI Number | 1710425442
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Entity Type | Organization
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Legal Business Name | KEYSTONE PHYSICAL THERAPY LLC
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Dates
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Enumeration Date | 02/01/2017
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Last Update Date | 02/01/2017
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Provider Practice Location Address
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Address Line | 1550 NIAGARA RD
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City | MONTROSE
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State | CO
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Zip | 81401-5027
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Country | US
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Telephone | 970-497-4921
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Fax |
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Provider Business Mailing Address
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Address Line | 1550 NIAGARA RD
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City | MONTROSE
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State | CO
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Zip | 81401-5027
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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 | MEMBER
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Name | DR. AARON COON
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Credential | D.P.T.
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Telephone | 970-497-4921
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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 |
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License Number State |
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