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General NPI Number Information
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NPI Number | 1770665325
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Entity Type | Organization
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Legal Business Name | BURLINGAME PHYSIOTHERAPY, LLC
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Dates
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Enumeration Date | 10/20/2006
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Last Update Date | 01/07/2014
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Provider Practice Location Address
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Address Line | 6041 S SYRACUSE WAY SUITE 307
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City | GREENWOOD VILLAGE
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State | CO
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Zip | 80111-4771
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Country | US
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Telephone | 720-482-0071
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Fax | 720-482-0081
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Provider Business Mailing Address
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Address Line | 6041 S SYRACUSE WAY SUITE 307
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City | GREENWOOD VILLAGE
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State | CO
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Zip | 80111-4771
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Country | US
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Telephone | 720-482-0071
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Fax | 720-482-0081
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Authorized Official
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Title or Position | OWNER/PT
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Name | JUDY L. BURLINGAME
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Credential | PT, DPT, OCS
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Telephone | 720-482-0071
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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 | 5834
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License Number State | CO
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