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General NPI Number Information
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NPI Number | 1902538598
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Entity Type | Individual
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Provider Name | SUZANNE MARIE ODVODY PT, DPT
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Gender | Female
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Dates
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Enumeration Date | 06/30/2022
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Last Update Date | 05/07/2025
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Provider Practice Location Address
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Address Line | 5600 S QUEBEC ST STE 107A
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City | GREENWOOD VILLAGE
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State | CO
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Zip | 80111-2201
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Country | US
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Telephone | 303-689-2222
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Fax |
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Provider Business Mailing Address
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Address Line | 11665 W RADCLIFF AVE
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City | MORRISON
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State | CO
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Zip | 80465-1410
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Country | US
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Telephone | 303-503-8806
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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 | PTL.0018435
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License Number State | CO
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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 | PTL.0018435
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License Number State | CO
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