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General NPI Number Information
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NPI Number | 1790055242
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Entity Type | Organization
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Legal Business Name | ROLFPROS.COM LLC
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Dates
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Enumeration Date | 12/30/2011
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Last Update Date | 08/10/2012
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Provider Practice Location Address
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Address Line | 8600 PARK MEADOWS DR. STE 200
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City | LONE TREE
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State | CO
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Zip | 80124-4106
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Country | US
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Telephone | 720-261-8002
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Fax |
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Provider Business Mailing Address
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Address Line | 6585 OLD RANCH TRL
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City | LITTLETON
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State | CO
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Zip | 80125-9082
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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 | FRED NEHRING
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Credential | CERTIFIED ROLFER
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Telephone | 720-261-8002
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225700000X
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Taxonomy Name | Massage Therapist
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License Number | 11282
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License Number State | CO
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Taxonomy #2
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Taxonomy Code | 172M00000X
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Taxonomy Name | Mechanotherapist
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License Number | 11282
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License Number State | CO
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