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General NPI Number Information
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NPI Number | 1710495775
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Entity Type | Individual
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Provider Name | SAMANTHA JANE HARMON PT, DPT
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Gender | Female
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Dates
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Enumeration Date | 01/11/2018
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Last Update Date | 11/07/2024
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Provider Practice Location Address
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Address Line | 4660 YOSEMITE ST STE 100
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City | DENVER
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State | CO
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Zip | 80238-4481
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Country | US
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Telephone | 720-516-8900
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Fax |
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Provider Business Mailing Address
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Address Line | 2695 ROCKY MOUNTAIN AVE STE 150
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City | LOVELAND
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State | CO
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Zip | 80538-9071
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Country | US
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Telephone | 970-624-1103
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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 | PTL0015343
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License Number State | CO
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