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General NPI Number Information
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NPI Number | 1770983751
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Entity Type | Individual
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Provider Name | DANIEL PROHASKA DPT
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Gender | Male
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Dates
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Enumeration Date | 08/27/2014
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Last Update Date | 10/30/2025
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Provider Practice Location Address
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Address Line | 2368 RESEARCH PKWY
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City | COLORADO SPRINGS
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State | CO
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Zip | 80920-1027
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Country | US
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Telephone | 877-787-3430
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Fax | 847-386-5805
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Provider Business Mailing Address
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Address Line | 1354 MORRO BAY WAY
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City | COLORADO SPRINGS
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State | CO
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Zip | 80921-1302
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Country | US
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Telephone | 719-505-3877
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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.0013459
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License Number State | CO
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