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General NPI Number Information
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NPI Number | 1821956426
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Entity Type | Individual
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Provider Name | JONATHAN MARTIN RAY JR. DPT
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Gender | Male
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Dates
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Enumeration Date | 01/13/2026
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Last Update Date | 01/13/2026
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Provider Practice Location Address
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Address Line | 10311 S PROGRESS WAY
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City | PARKER
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State | CO
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Zip | 80134-9078
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Country | US
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Telephone | 720-773-8082
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Fax |
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Provider Business Mailing Address
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Address Line | 16422 BLUE YONDER VW
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City | MONUMENT
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State | CO
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Zip | 80132-7806
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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 |
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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 | 2251S0007X
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Taxonomy Name | Sports Physical Therapist
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License Number |
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License Number State |
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