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General NPI Number Information
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NPI Number | 1841642352
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Entity Type | Individual
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Provider Name | KRISTINA NGUYEN DPT
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Gender | Female
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Dates
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Enumeration Date | 07/08/2016
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Last Update Date | 05/03/2024
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Provider Practice Location Address
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Address Line | 1375 E 20TH AVE
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City | DENVER
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State | CO
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Zip | 80205-5422
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Country | US
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Telephone | 303-338-4545
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Fax |
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Provider Business Mailing Address
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Address Line | 10350 E DAKOTA AVE
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City | DENVER
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State | CO
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Zip | 80247-1314
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 1306377
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License Number State | TX
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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 | 070022311
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License Number State | IL
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Taxonomy #3
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PTL.0015175
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License Number State | CO
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