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General NPI Number Information
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NPI Number | 1821458076
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Entity Type | Organization
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Legal Business Name | SPIRIC THERAPIES, LLC
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Dates
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Enumeration Date | 03/01/2016
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Last Update Date | 03/01/2016
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Provider Practice Location Address
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Address Line | 10432 W DARTMOUTH AVE
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City | LAKEWOOD
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State | CO
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Zip | 80227-5605
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Country | US
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Telephone | 720-253-6516
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Fax |
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Provider Business Mailing Address
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Address Line | 10432 W DARTMOUTH AVE
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City | LAKEWOOD
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State | CO
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Zip | 80227-5605
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Country | US
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Telephone | 720-253-6516
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Fax |
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Authorized Official
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Title or Position | PHYSICAL THERAPIST
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Name | JENNIFER SPIRIC
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Credential | PT, DPT
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Telephone | 720-253-6516
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 252Y00000X
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Taxonomy Name | Early Intervention Provider Agency
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License Number | PTL.0011794
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License Number State | CO
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