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General NPI Number Information
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NPI Number | 1750162566
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Entity Type | Individual
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Provider Name | VIKRAM PRATHAP DPT
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Gender | Male
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Dates
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Enumeration Date | 10/09/2023
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Last Update Date | 10/09/2023
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Provider Practice Location Address
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Address Line | 8755 E ORCHARD RD STE 604
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City | GREENWOOD VILLAGE
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State | CO
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Zip | 80111-5008
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Country | US
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Telephone | 720-358-1529
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Fax |
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Provider Business Mailing Address
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Address Line | 1164 S ACOMA ST APT 122
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City | DENVER
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State | CO
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Zip | 80210-1592
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Country | US
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Telephone | 530-601-0631
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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.0019375
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License Number State | CO
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