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General NPI Number Information
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NPI Number | 1750500047
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Entity Type | Individual
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Provider Name | MARK OWEN MAKOWSKI PT
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Gender | Male
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Dates
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Enumeration Date | 04/24/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 700 COLORADO BLVD # 318
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City | DENVER
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State | CO
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Zip | 80206-4084
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Country | US
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Telephone | 866-201-9492
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Fax |
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Provider Business Mailing Address
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Address Line | 90 PRIVATE ROAD 931
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City | RICHLAND SPRINGS
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State | TX
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Zip | 76871-8815
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Country | US
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Telephone | 940-872-7355
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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 | 1138709
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License Number State | TX
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