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NPI 1871941849

NPI 1871941849 : JAMES TEEL DPT : FORT CARSON, CO

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General NPI Number Information
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    NPI Number           |    1871941849
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    Entity Type          |    Individual 
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    Provider Name        |    JAMES TEEL DPT
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    05/31/2016
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    Last Update Date     |    02/19/2025
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Provider Practice Location Address
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    Address Line         |    1650 COCHRANE CIR 
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    City                 |    FORT CARSON
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    State                |    CO
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    Zip                  |    80913-4613
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    Country              |    US
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    Telephone            |    719-526-1659
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    4812 E 33RD ST 
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    City                 |    TULSA
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    State                |    OK
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    Zip                  |    74135-2038
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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        |    2251X0800X
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    Taxonomy Name        |    Orthopedic Physical Therapist
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    License Number       |    5131
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    License Number State |    OK
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Taxonomy #2
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    Taxonomy Code        |    171000000X
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    Taxonomy Name        |    Military Health Care Provider
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    License Number       |    5131
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    License Number State |    OK
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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       |    5131
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    License Number State |    OK
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