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General NPI Number Information
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NPI Number | 1801907662
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Entity Type | Organization
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Legal Business Name | ORTHOPEDIC REHABILITATION ASSOCIATES PC
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Dates
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Enumeration Date | 08/31/2006
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Last Update Date | 02/12/2014
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Provider Practice Location Address
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Address Line | 3605 AUSTIN BLUFFS PKWY
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City | COLORADO SPRINGS
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State | CO
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Zip | 80918-6630
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Country | US
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Telephone | 719-265-6601
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Fax | 719-265-6649
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Provider Business Mailing Address
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Address Line | 3605 AUSTIN BLUFFS PKWY
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City | COLORADO SPRINGS
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State | CO
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Zip | 80918-6630
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Country | US
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Telephone | 719-265-6601
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Fax | 719-265-6649
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Authorized Official
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Title or Position | OWNER PHYSICAL THERAPIST
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Name | MR. DANIEL PAUL FOGARTY
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Credential | MPT
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Telephone | 719-265-6601
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State |
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