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General NPI Number Information
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NPI Number | 1770832016
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Entity Type | Organization
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Legal Business Name | HEALTHPATH, LLC
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Dates
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Enumeration Date | 08/31/2012
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Last Update Date | 08/31/2012
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Provider Practice Location Address
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Address Line | 3545 S. TAMARAC DR SUITE 170
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City | DENVER
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State | CO
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Zip | 80237
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Country | US
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Telephone | 859-338-0426
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Fax |
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Provider Business Mailing Address
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Address Line | 8621 E 21ST AVE
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City | DENVER
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State | CO
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Zip | 80238
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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 | OWNER
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Name | CHRISTINE PRELAZ
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Credential | DPT, MS, OCS, CSCS
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Telephone | 859-338-0426
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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 | 11527
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License Number State | CO
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