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General NPI Number Information
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NPI Number | 1861922080
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Entity Type | Organization
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Legal Business Name | RC THERAPY, LLC
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Dates
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Enumeration Date | 06/20/2017
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Last Update Date | 06/20/2017
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Provider Practice Location Address
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Address Line | 99 INVERNESS DR E 100
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City | ENGLEWOOD
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State | CO
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Zip | 80112
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Country | US
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Telephone | 303-577-1911
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Fax |
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Provider Business Mailing Address
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Address Line | 99 INVERNESS DR E STE 100
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City | ENGLEWOOD
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State | CO
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Zip | 80112-5127
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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 | CEO
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Name | CHRIS HETHERINGTON
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Credential |
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Telephone | 303-577-1911
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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 | PTL0009659
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License Number State | CO
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